Doctor Name: | LEAH JEAN WEBER |
NPI Number: | 1073895348 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 001418 |
Business Practice Address: | 22 N Georgia Ave Suite 102 Mason City, IA - 504013435 |
Business Phone Number: | 6414220070 |
Business Fax Number: | 6414220060 |
Mailing Address: | 22 N Georgia Ave, Suite 102 MASON CITY |
State: | IA |
Postal Code: | 504013435 |
Phone Number: | 6414220070 |
Fax Number: | 6414220060 |
NPI Enumeration Date: | 09/13/2011 |
NPI Last Update Date: | 09/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |