person
Kristi Ann Weaver
Mental Health Counselor in Carbondale, Illinois
NPI 1053669903

Kristi Ann Weaver is a Mental Health Counselor based in Carbondale, IL and is specialized in Mental Health. Kristi Ann Weaver practices in Carbondale, IL. The NPI Number for Kristi Ann Weaver is 1053669903 and holds a License No. 180009792 (Illinois).

The current practice location address for Kristi Ann Weaver is 2311 S Illinois Ave, Carbondale, IL and can be reached out via phone at 618-457-6703 and via fax at 618-549-3734.

Location: 2311 S Illinois Ave, Carbondale, IL, 62901-5474
person
Provider Profile Details
NPI Number
1053669903
Provider Name
Kristi Ann Weaver
Credential
Provider Entity Type
Individual
Gender
Female
Address
2311 S Illinois Ave, Carbondale, IL, 62901-5474
Phone Number
618-457-6703
Fax Number
618-549-3734
Provider Enumeration Date
08/27/2012
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
2311 S Illinois Ave
City
State
Zip
62903-5912
Phone Number
618-457-6703
Fax Number
618-549-3734
person
Provider Business Mailing Address Details
Address
2311 S Illinois Ave
City
State
Zip
62903-5912
Phone Number
618-457-6703
Fax Number
618-549-3734
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.009792 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180009792 (Illinois)
Definition
Definition to come...
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