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Individual
DEBRA CAROL WEAVER
Active
Individual
DEBRA CAROL WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC1
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
296342
KY
175T00000X
Peer Specialist
—
KY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
KY
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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