Individual
MRS. JAN CATHERINE WEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 N MAIN ST, STE GENEVIEVE, MO 63670-1337
(573) 517-1543
Mailing address
14415 ASPEN LN, STE GENEVIEVE, MO 63670-8861
(573) 517-1543
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2012014841
MO
101YM0800X
Mental Health Counselor
2012014841
MO
101YP2500X
Professional Counselor
2012104841
MO
101YS0200X
School Counselor
2012014841
MO
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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