Doctor Name: | MARCI N. WEIGHT |
NPI Number: | 1144378688 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 5414790-6004 |
Business Practice Address: | 185 N Main St Suite 701 Tooele, UT - 840742161 |
Business Phone Number: | 4358827928 |
Business Fax Number: | 4358827928 |
Mailing Address: | 185 N Main St, Suite 701 TOOELE |
State: | UT |
Postal Code: | 840742161 |
Phone Number: | 4358827928 |
Fax Number: | 4358827928 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 12/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5414790-6004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |