Individual
TIMOTHY ALAN WEESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5900 BROCKTON AVE, RIVERSIDE, CA 92506-1862
(951) 275-8400
Mailing address
5900 BROCKTON AVE, RIVERSIDE, CA 92506-1862
(951) 275-8400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2047
CA
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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