Individual
MR. MARK W WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC ,LMFT
Contact information
Practice address
3108 N PARHAM RD STE 200A, RICHMOND, VA 23294-4420
(804) 346-0870
(804) 290-0474
Mailing address
3108 N PARHAM RD STE 200A, RICHMOND, VA 23294-4420
(804) 346-0870
(804) 290-0474
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701000876
VA
106H00000X
Marriage & Family Therapist
Primary
0717000082
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5400546
—
VA
Enumeration date
07/19/2006
Last updated
09/11/2025
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