Individual
MR. GRANT WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CDP, MAC, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00002621
WA
101YM0800X
Mental Health Counselor
LH00003794
WA
101YP1600X
Pastoral Counselor
—
GU
101YP2500X
Professional Counselor
4294
WA
101YP2500X
Professional Counselor
Primary
—
AZ
106H00000X
Marriage & Family Therapist
IMF-97
GU
Other
Enumeration date
02/08/2007
Last updated
11/10/2025
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