West, Keely Dyane

West, Keely Dyane is an individual health care provider with primary practice located at 1901 Dutton Dr Suite E, San Marcos TX 78666-7573. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. West, Keely Dyane can be contacted via phone (512) 396-7695.

Contact Information

Primary practice address
1901 Dutton Dr Suite E San Marcos TX 78666-7573
Phone: (512) 396-7695
Fax: (512) 396-7633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 61503 Texas

Profile Details

NPI number 1679913891
LBN Legal business name West, Keely Dyane
Credentials NCC,LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2013
Last updated Jul 2nd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679913891 NPPES
Texas MEDICAID 065337001

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