Doctor Name: | RACHEL WEAVER |
NPI Number: | 1598893281 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW-S, LICDC-CS |
License Number: | ICDC.131245-CS |
Business Practice Address: | 520 Youngstown Poland Rd Struthers, OH - 444711103 |
Business Phone Number: | 3303183078 |
Business Fax Number: | |
Mailing Address: | 520 Youngstown Poland Rd, STRUTHERS |
State: | OH |
Postal Code: | 444711103 |
Phone Number: | 3303183078 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | ICDC.131245-CS |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |