Individual
GEOFFREY ALAN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
1250 KELSEY ST NE, GRAND RAPIDS, MI 49505-3860
(616) 826-9078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/08/2017
Last updated
10/08/2017
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