Individual
SAMUEL PETER WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1011 N 8TH ST, SHEBOYGAN, WI 53081-4006
(920) 459-3163
Mailing address
1011 N 8TH ST, SHEBOYGAN, WI 53081-4006
(920) 459-3163
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7552-226
WI
101YM0800X
Mental Health Counselor
Primary
7552-226
WI
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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