Individual
TRACI L WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, MLADC
Contact information
Practice address
2 WELLMAN AVE, SUITE 350, NASHUA, NH 03064-1463
(603) 459-9462
(603) 595-0758
Mailing address
PO BOX 194, HOLLIS, NH 03049-0194
(603) 459-9462
(603) 595-0758
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0910
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
1039
NH
Other
Enumeration date
08/31/2012
Last updated
12/26/2014
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