Individual
SHELBY L WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC, LPC-T
Contact information
Practice address
86 S 14TH ST, SAN JOSE, CA 95112-2015
(408) 510-7080
Mailing address
86 S 14TH ST, SAN JOSE, CA 95112-2015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2303-226
WI
101YP2500X
Professional Counselor
Primary
4611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982780094
—
WI
Enumeration date
12/08/2014
Last updated
03/17/2018
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