Provider Demographics
NPI:1942325303
Name:WEST, LINDA (MFT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6356
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-6356
Mailing Address - Country:US
Mailing Address - Phone:530-891-5058
Mailing Address - Fax:
Practice Address - Street 1:341 BROADWAY ST STE 205
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5355
Practice Address - Country:US
Practice Address - Phone:530-891-5058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC43806101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health