Individual
FREDERICK WESTBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
845 W KATHLEEN AVE, COEUR D ALENE, ID 83815-9405
(480) 524-2699
(888) 315-9032
Mailing address
PO BOX 773, MARICOPA, AZ 85139-0290
(480) 993-9020
(888) 315-9020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-18664
AZ
101YM0800X
Mental Health Counselor
Primary
LCPC-8676
ID
Other
Enumeration date
07/02/2014
Last updated
08/01/2023
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