Provider Demographics
NPI:1265868152
Name:WESTBROOK, STEVEN RAMONTA (MA, LPCA)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:RAMONTA
Last Name:WESTBROOK
Suffix:
Gender:M
Credentials:MA, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2028 LIME ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-6100
Mailing Address - Country:US
Mailing Address - Phone:919-423-4814
Mailing Address - Fax:
Practice Address - Street 1:1803 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-1175
Practice Address - Country:US
Practice Address - Phone:919-423-4814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-24
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9803101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health