Provider Demographics
NPI:1912021148
Name:WEST, MARCIA PHARR (LMFT)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:PHARR
Last Name:WEST
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21801 LINDA DR
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-6250
Mailing Address - Country:US
Mailing Address - Phone:310-540-8332
Mailing Address - Fax:
Practice Address - Street 1:2900 SEPULVEDA BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2804
Practice Address - Country:US
Practice Address - Phone:310-325-5885
Practice Address - Fax:310-539-6049
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42660106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist