Individual
JENNIFER L WEAVER-BREITENBECHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1635 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4025
(401) 349-4269
Mailing address
PO BOX 113987, NORTH PROVIDENCE, RI 02911-0187
(401) 349-4269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00673
RI
Other
Enumeration date
02/06/2015
Last updated
03/31/2020
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