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Individual

MRS. HEATHER MARIE WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT, LPC

Contact information

Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
(503) 397-5373
Mailing address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
(503) 397-5373

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5764
ID
101YP2500X
Professional Counselor
Primary
C4390
OR
106H00000X
Marriage & Family Therapist
5695
ID
106H00000X
Marriage & Family Therapist
T1251
OR

Other

Enumeration date
02/26/2015
Last updated
02/23/2017
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