Individual
MR. MICHAEL CHARLES WEYAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW, LCSW,
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(609) 933-3000
(360) 993-3099
Mailing address
1601 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3753
(360) 624-2744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00004960
WA
1041C0700X
Clinical Social Worker
Primary
LW00007884
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871586222
—
WA
Enumeration date
08/31/2005
Last updated
05/06/2025
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