Individual
SAM WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
2214 MICHIGAN AVE STE F, ARLINGTON, TX 76013-5952
(817) 723-1210
Mailing address
2214 MICHIGAN AVE STE F, ARLINGTON, TX 76013-5952
(817) 723-1210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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