Doctor Name: | MRS. JEAN E WEAVER |
NPI Number: | 1649255134 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | E-377 |
Business Practice Address: | 42 E Rahn Rd #209 Kettering, OH - 454295459 |
Business Phone Number: | 9374391930 |
Business Fax Number: | 9374386788 |
Mailing Address: | 3063 Old Salem Rd, DAYTON |
State: | OH |
Postal Code: | 454151226 |
Phone Number: | 9378903851 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | E-377 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |