Individual
AYESHA WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 GALLAGHER AVE, ROSCOMMON, MI 48653-8344
(347) 543-2169
Mailing address
300 GALLAGHER AVE, ROSCOMMON, MI 48653-8344
(347) 543-2169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
098235-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098235-01
LICENSED MASTER SOCIAL WORK
NY
Enumeration date
02/16/2023
Last updated
02/16/2023
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