Individual
DALE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5007 CLAREMONT WAY, EVERETT, WA 98203-3321
(425) 609-5505
(425) 609-5506
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60560414
WA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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