| Doctor Name: | MICHELE LYNN WEBER |
| NPI Number: | 1528153459 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCC |
| License Number: | E 0003424 |
| Business Practice Address: | 5475 Liberty Ave Vermilion, OH - 440891333 |
| Business Phone Number: | 4409640402 |
| Business Fax Number: | |
| Mailing Address: | 4143 Firestone Ln, VERMILION |
| State: | OH |
| Postal Code: | 440893625 |
| Phone Number: | 4409675784 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E 0003424 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |