Individual
MS. KENDRA K. WEIBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS, LSW
Contact information
Practice address
600 CREEKSIDE DR, SUITE 601, POTTSTOWN, PA 19464-9204
(610) 326-2728
(610) 326-2750
Mailing address
600 CREEKSIDE DR, SUITE 601, POTTSTOWN, PA 19464-9204
(610) 326-2728
(610) 326-2750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127922
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245267129
GROUP'S NPI # (INNOVATIVE COUNSELING)
PA
01
—
SW127922
PENNSYLVANIA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
03/08/2012
Last updated
03/08/2012
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