Individual provider · Type 1 NPI

Jackie Lynne West, LPCC, LADAC

Professional Counselor · Albuquerque, NM

NPI number 1124231618 Active

Practice location

5400 Gibson Blvd SE
Albuquerque, NM 87108-5566

Fax (505) 841-8977

Mailing address

2504 Camino Entrada
Santa Fe, NM 87507-4851

Other practice locations

  • 428 Los Lentes Rd SE Ste 3, Los Lunas, NM 87031-6018 · (505) 865-3350

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X4749 (NM)
Mental Health Counselor 101YM0800XT-0098501 (NM)
Professional Counselor Primary 101YP2500XCTB-2022-0948 (NM)

Professional Counselor: Definition to come...

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About NPI 1124231618

Jackie Lynne West, LPCC, LADAC's National Provider Identifier is 1124231618, issued on May 8, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Albuquerque, NM. The record was last updated on Jan 9, 2025.