Individual
COURTNEY WESTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
112 EAST AVE UNIT 9, HACKETTSTOWN, NJ 07840-2662
(908) 441-1579
Mailing address
112 EAST AVE UNIT 9, HACKETTSTOWN, NJ 07840-2662
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00197200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310115
—
NJ
Enumeration date
05/22/2017
Last updated
05/22/2017
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