Individual
BRENNA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
206 W JACKSON ST STE 200, RIDGELAND, MS 39157-2310
(769) 300-1443
(769) 208-4477
Mailing address
206 W JACKSON ST, RIDGELAND, MS 39157-2310
(769) 300-1443
(769) 208-4477
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2100
MS
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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