Provider Demographics
NPI:1417509605
Name:WESTOVER, CARA (LMFT)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:WESTOVER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:
Other - Last Name:TIMKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:139 S MANHATTAN PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-5002
Mailing Address - Country:US
Mailing Address - Phone:917-742-3659
Mailing Address - Fax:
Practice Address - Street 1:6815 WILLOUGHBY AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90038-2434
Practice Address - Country:US
Practice Address - Phone:424-279-8648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA114151106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist