Individual
MR. GRANT WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CDP, MAC, LMHC
Contact information
Practice address
37200 N GANTZEL RD STE 200, SAN TAN VALLEY, AZ 85140-7385
(888) 374-5066
(719) 623-0165
Mailing address
37200 N GANTZEL RD STE 200, SAN TAN VALLEY, AZ 85140-7385
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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