Individual
MS. ALLISON WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.D.C.
Contact information
Practice address
4267 TWIN RIVER WAY, 1427, SALT LAKE CITY, UT 84123-2829
(202) 520-4916
Mailing address
4267 TWIN RIVER WAY, 1427, SALT LAKE CITY, UT 84123-2829
(202) 520-4916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00027
OK
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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