Individual
BRETT WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2408 LEE STREET RD, AMERICUS, GA 31709-9249
(806) 367-2176
Mailing address
2408 LEE STREET RD, AMERICUS, GA 31709-9249
(806) 367-2176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8771
LA
Other
Enumeration date
06/11/2021
Last updated
01/08/2024
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