Provider Demographics
NPI:1568878239
Name:WESTBY, FREDERICK (LPC)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:
Last Name:WESTBY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 773
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85139-0290
Mailing Address - Country:US
Mailing Address - Phone:480-993-9020
Mailing Address - Fax:888-315-9020
Practice Address - Street 1:845 W KATHLEEN AVE
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-9405
Practice Address - Country:US
Practice Address - Phone:480-524-2699
Practice Address - Fax:888-315-9032
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-18664101Y00000X
IDLCPC-8676101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor