Provider Demographics
NPI:1639498652
Name:WESTFALL, JOANNE ELINOR (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:ELINOR
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 WAYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-3758
Mailing Address - Country:US
Mailing Address - Phone:517-333-3402
Mailing Address - Fax:
Practice Address - Street 1:3887 OKEMOS RD
Practice Address - Street 2:SUITE A2
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-3664
Practice Address - Country:US
Practice Address - Phone:517-974-7555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI101Y00000X101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor