Provider Demographics
NPI:1689955452
Name:WEST, CARA L (LCPC)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:L
Last Name:WEST
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2126 ESPEY CT STE C
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-2425
Mailing Address - Country:US
Mailing Address - Phone:410-451-3000
Mailing Address - Fax:667-295-7336
Practice Address - Street 1:2126 ESPEY CT STE C
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-2425
Practice Address - Country:US
Practice Address - Phone:410-451-3000
Practice Address - Fax:667-295-7336
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4039101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLC4039OtherLICENSE