Individual
CASEY J WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
925 N FAIRFAX ST APT 1104, ALEXANDRIA, VA 22314-5553
(608) 347-3144
Mailing address
925 N FAIRFAX ST APT 1104, ALEXANDRIA, VA 22314-5553
(608) 347-3144
(608) 252-1328
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0717002013
VA
106H00000X
Marriage & Family Therapist
Primary
203156
TX
106H00000X
Marriage & Family Therapist
785-124
WI
Other
Enumeration date
06/06/2008
Last updated
03/12/2024
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