| Doctor Name: | MR. KEVIN L WEBER |
| NPI Number: | 1326465337 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LMHC, LCAC |
| License Number: | 87001491A |
| Business Practice Address: | 630 E University Dr Granger, IN - 465307379 |
| Business Phone Number: | 5748070747 |
| Business Fax Number: | 5742433510 |
| Mailing Address: | 630 E University Dr, GRANGER |
| State: | IN |
| Postal Code: | 465307379 |
| Phone Number: | 5748070747 |
| Fax Number: | 5742433510 |
| NPI Enumeration Date: | 03/27/2014 |
| NPI Last Update Date: | 10/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 87001491A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |