Individual
MARK ALAN WEEDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT-A
Contact information
Practice address
2490 BOONVILLE RD, BRYAN, TX 77808-2326
(979) 571-6216
Mailing address
5273 FM 1179, BRYAN, TX 77808-7248
(979) 571-6216
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204063
TX
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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