Individual
JERRY WEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
271 CALLAHAN KOON RD, SPINDALE, NC 28160-2207
(828) 288-8773
(828) 288-9577
Mailing address
314 US HIGHWAY 221A, FOREST CITY, NC 28043-5902
(828) 202-3075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2456
NC
101YM0800X
Mental Health Counselor
Primary
10607
NC
Other
Enumeration date
12/11/2012
Last updated
03/02/2026
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