Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 62461 | TX |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 62461 | TX |
Y | 101YM0800X | Mental Health Counselor | 62461 | TX |
N | 101YP2500X | Professional Counselor | 62461 | TX |
N | 101YS0200X | School Counselor | 62461 | TX |
N | 104100000X | Social Worker | 62461 | TX |
N | 1041C0700X | Clinical Social Worker | 62461 | TX |
N | 1041S0200X | School Social Worker | 62461 | TX |
NPI | 1124665328 |
---|---|
Provider Name | Shelby Westerman |
First Address | Lubbock, TX 79424-4659 |
Second Address | Lubbock, TX 79423-1124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2019 |
Last Update Date | 06/12/2019 |