Provider Demographics
NPI:1265181598
Name:WEST, JOSEPH LESTER III (LCAS)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:LESTER
Last Name:WEST
Suffix:III
Gender:M
Credentials:LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:418 PERSON ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-5886
Mailing Address - Country:US
Mailing Address - Phone:910-483-0958
Mailing Address - Fax:910-483-1720
Practice Address - Street 1:418 PERSON ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5886
Practice Address - Country:US
Practice Address - Phone:910-483-0958
Practice Address - Fax:910-483-1720
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-21891101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)