Provider Demographics
NPI:1528306149
Name:WESTBROOK, FARAH A (MA, NCC, LPC, LCPC)
Entity type:Individual
Prefix:
First Name:FARAH
Middle Name:A
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:MA, NCC, LPC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9672 MARLBORO PIKE
Mailing Address - Street 2:SUITE L
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-0000
Mailing Address - Country:US
Mailing Address - Phone:703-201-1178
Mailing Address - Fax:
Practice Address - Street 1:9672 MARLBORO PIKE
Practice Address - Street 2:SUITE L
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-0000
Practice Address - Country:US
Practice Address - Phone:703-201-1178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14925101YM0800X
WALH60474417101YM0800X
MDLC7393101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health