Healthcare Provider Details

I. General information

NPI: 1689248924
Provider Name (Legal Business Name): CHRISTIAAN WESTROM LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 GOLF COURSE RD SE STE 203
RIO RANCHO NM
87124-4731
US

IV. Provider business mailing address

1101 GOLF COURSE RD SE STE 203
ALBUQUERQUE NM
87124-4731
US

V. Phone/Fax

Practice location:
  • Phone: 505-518-5757
  • Fax:
Mailing address:
  • Phone: 505-518-5757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCTB20250301
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: