Individual
BENJAMIN KENNETH WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4522 FULTON DR NW, CANTON, OH 44718-2332
(330) 915-2907
Mailing address
4200 MUNSON ST NW STE A, CANTON, OH 44718-2981
(330) 915-2907
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.2304963
OH
Other
Enumeration date
01/16/2020
Last updated
01/30/2024
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