Individual
JOHN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LCMHCA
Contact information
Practice address
4814 SIX FORKS RD STE 202, RALEIGH, NC 27609-5246
(919) 880-4078
Mailing address
3914 BATSON DR, FRANKLINTON, NC 27525-7363
(919) 740-3097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18665
NC
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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