Doctor Name: | TROY ROBERT WEBER-BROWN |
NPI Number: | 1003048430 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LAMFT |
License Number: | 1919 |
Business Practice Address: | 227 10th Ave N Saint Cloud, MN - 563034637 |
Business Phone Number: | 3204924525 |
Business Fax Number: | 3202590791 |
Mailing Address: | 227 10th Ave N, SAINT CLOUD |
State: | MN |
Postal Code: | 563034637 |
Phone Number: | 3204924525 |
Fax Number: | 3202590791 |
NPI Enumeration Date: | 08/19/2009 |
NPI Last Update Date: | 08/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |