Provider Demographics
NPI:1134793581
Name:WESTFALL, KALEIGH (CT)
Entity type:Individual
Prefix:
First Name:KALEIGH
Middle Name:
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 N 5TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-3527
Mailing Address - Country:US
Mailing Address - Phone:740-214-6443
Mailing Address - Fax:
Practice Address - Street 1:58 N 5TH ST STE 102
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-3527
Practice Address - Country:US
Practice Address - Phone:740-214-6443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2103206-TRNE390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHC.2103206-TRNEOtherOHIO COUNSELOR, SOCIAL WORK AND MARRIAGE AND FAMILY BOARD