Individual
VIKTORIA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1619 W M 32, GAYLORD, MI 49735-9287
(231) 535-2822
Mailing address
PO BOX 992, GAYLORD, MI 49734-0992
(989) 732-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690032
—
MI
Enumeration date
02/01/2017
Last updated
03/24/2023
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