Provider Demographics
NPI:1851625073
Name:WESTBROOK, YVONNE L (MFT)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:L
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 N BEACHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1923
Mailing Address - Country:US
Mailing Address - Phone:323-632-8012
Mailing Address - Fax:323-465-2703
Practice Address - Street 1:1680 N. VINE ST.,
Practice Address - Street 2:SUITE 1205
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028
Practice Address - Country:US
Practice Address - Phone:323-632-8012
Practice Address - Fax:323-465-2703
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47625106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist