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Individual

ANDREA WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC, NCC, LCASA

Contact information

Practice address
855 SAM NEWELL RD STE 100, MATTHEWS, NC 28105-7593
(704) 360-3637
(704) 321-4940
Mailing address
855 SAM NEWELL RD STE 100, MATTHEWS, NC 28105-7593
(704) 360-3637
(704) 321-4940

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-25207
NC
101YM0800X
Mental Health Counselor
Primary
14585
NC

Other

Enumeration date
01/23/2019
Last updated
01/02/2025
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