Provider Demographics
NPI:1275670002
Name:WESTWOOD, ILONA GABRIELLE (MS)
Entity Type:Individual
Prefix:
First Name:ILONA
Middle Name:GABRIELLE
Last Name:WESTWOOD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1316 KING ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-6263
Mailing Address - Country:US
Mailing Address - Phone:360-715-3088
Mailing Address - Fax:360-715-3024
Practice Address - Street 1:1316 KING ST
Practice Address - Street 2:SUITE 3
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-6263
Practice Address - Country:US
Practice Address - Phone:360-715-3088
Practice Address - Fax:360-715-3024
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005835101Y00000X
WALF00001004106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist