Provider Demographics
NPI:1609153055
Name:WEST, ALBERT V (MA, LPC-S, CET)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:
Last Name:WEST
Suffix:V
Gender:M
Credentials:MA, LPC-S, CET
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 MCKINNEY AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-3396
Mailing Address - Country:US
Mailing Address - Phone:214-902-9881
Mailing Address - Fax:214-902-8390
Practice Address - Street 1:5115 MCKINNEY AVE
Practice Address - Street 2:SUITE B
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-3396
Practice Address - Country:US
Practice Address - Phone:214-902-9881
Practice Address - Fax:214-902-8390
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15961101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional