Individual
SHANNON HEATHER WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
4715 SULLIVAN SLOUGH RD, BURLINGTON, IA 52601-9013
(319) 753-0700
(319) 754-7885
Mailing address
4715 SULLIVAN SLOUGH RD, BURLINGTON, IA 52601-9013
(319) 753-0700
(319) 754-7885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11025
IA
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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