Individual
JENNIFER A WEIBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M ED, LPC
Contact information
Practice address
3003 E CHESTNUT EXPY STE 800, SPRINGFIELD, MO 65802-6311
(417) 413-4324
Mailing address
3003 E CHESTNUT EXPY STE 800, SPRINGFIELD, MO 65802-6311
(417) 413-4324
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021021798
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
MO
Enumeration date
11/27/2019
Last updated
01/29/2025
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