Individual
MRS. JEAN E WEAVER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
42 E RAHN RD, #209, KETTERING, OH 45429-5459
(937) 439-1930
(937) 438-6788
Mailing address
3063 OLD SALEM RD, DAYTON, OH 45415-1226
(937) 890-3851
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E-377
OH
Other
Enumeration date
12/07/2005
Last updated
07/08/2007
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