Provider Demographics
NPI:1306394259
Name:WEST, STAVROULA ANGELIKI (LMFT)
Entity type:Individual
Prefix:MRS
First Name:STAVROULA
Middle Name:ANGELIKI
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 1:1016 ARNOLD AVE
Mailing Address - Street 2:
Mailing Address - City:HOQUIAM
Mailing Address - State:WA
Mailing Address - Zip Code:98550-1530
Mailing Address - Country:US
Mailing Address - Phone:206-724-4465
Mailing Address - Fax:
Practice Address - Street 1:1016 ARNOLD AVE
Practice Address - Street 2:
Practice Address - City:HOQUIAM
Practice Address - State:WA
Practice Address - Zip Code:98550-1530
Practice Address - Country:US
Practice Address - Phone:206-724-4465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-20
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT-16120106H00000X
UT11551867-3902106H00000X
FLMT5003106H00000X
WALF61285813106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist