Provider Demographics
NPI:1285133397
Name:WESTER, TERRY WEST (MS LPC)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:WEST
Last Name:WESTER
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5114 CAMP LN
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79110-4318
Mailing Address - Country:US
Mailing Address - Phone:806-654-3914
Mailing Address - Fax:
Practice Address - Street 1:5114 CAMP LN
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79110-4318
Practice Address - Country:US
Practice Address - Phone:806-654-3914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-04
Last Update Date:2018-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70699101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional