Individual
MS. CHERRY LOUISE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 NW 24TH ST, FORT WORTH, TX 76164-8544
(817) 626-7640
(817) 626-6400
Mailing address
7706 WATER FOWL TRL, ARLINGTON, TX 76002-4571
(817) 247-0880
(817) 626-6400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1660
TX
101YP2500X
Professional Counselor
Primary
18833
TX
Other
Enumeration date
07/25/2006
Last updated
01/24/2012
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