Individual
BRENT WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2457 DERBYSHIRE RD, MAITLAND, FL 32751-3614
(407) 953-5467
Mailing address
2457 DERBYSHIRE RD, MAITLAND, FL 32751-3614
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH18310
FL
Other
Enumeration date
06/08/2020
Last updated
07/25/2021
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