| Doctor Name: | MRS. JAN CATHERINE WEITH |
| NPI Number: | 1336569623 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 2012014841 |
| Business Practice Address: | 117 N Main St Ste Genevieve, MO - 636701337 |
| Business Phone Number: | 5735171543 |
| Business Fax Number: | |
| Mailing Address: | 14415 Aspen Ln, STE GENEVIEVE |
| State: | MO |
| Postal Code: | 636708861 |
| Phone Number: | 5735171543 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2014 |
| NPI Last Update Date: | 04/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2012014841 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |