Provider Demographics
NPI:1083761738
Name:WESTRA, STEPHEN J (MA,)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:J
Last Name:WESTRA
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Gender:M
Credentials:MA,
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Mailing Address - Street 1:8704 YATES DR
Mailing Address - Street 2:SUITE #110
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-6950
Mailing Address - Country:US
Mailing Address - Phone:303-428-8486
Mailing Address - Fax:303-413-1871
Practice Address - Street 1:8704 YATES DR
Practice Address - Street 2:SUITE #110
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6950
Practice Address - Country:US
Practice Address - Phone:303-428-8486
Practice Address - Fax:303-413-1871
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CO186101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health