Individual
TERESE LATRECE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
1430 TRUXTUN AVE STE 700, BAKERSFIELD, CA 93301-5226
(661) 717-6775
Mailing address
2305 MIRTO CT, BAKERSFIELD, CA 93309-4414
(661) 281-7611
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12148
CA
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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