Individual
JENNIFER WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68 ORANGE ST, ASHEVILLE, NC 28801-2759
(828) 437-3000
(828) 437-4999
Mailing address
30 WENTWORTH AVE, ASHEVILLE, NC 28803-9693
(831) 421-2468
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
2292
NC
106H00000X
Marriage & Family Therapist
Primary
90891
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
12/03/2013
Last updated
11/06/2023
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