Individual
MR. JOHN RALPH WEBER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CRAADC, CRC
Contact information
Practice address
1170A E GANNON DR, FESTUS, MO 63028-2636
(636) 322-2225
Mailing address
1170A E GANNON DR, FESTUS, MO 63028-2636
(636) 322-2225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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