Provider Demographics
NPI:1114568185
Name:WESTBROOK, HARRISON CHRISTOPHER (LMFT)
Entity Type:Individual
Prefix:
First Name:HARRISON
Middle Name:CHRISTOPHER
Last Name:WESTBROOK
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3335 PLACER ST
Mailing Address - Street 2:PMB 155
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2364
Mailing Address - Country:US
Mailing Address - Phone:916-996-3507
Mailing Address - Fax:
Practice Address - Street 1:4625 MOUNTAIN LAKES BLVD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-1450
Practice Address - Country:US
Practice Address - Phone:530-246-7172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7017101YP2500X
CA138294106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional