Individual
ALYSSA MARY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
174 MINE LAKE CT, RALEIGH, NC 27615-6417
(919) 322-9723
Mailing address
1044 THORNROSE WAY, WAKE FOREST, NC 27587-6944
(252) 469-1339
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12517A
NC
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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