person
Brent Weaver
Peer Specialist in Sheridan, Wyoming
NPI 1093474991

Brent Weaver is a Peer Specialist based in Sheridan, WY. Brent Weaver practices in Sheridan, WY. The NPI Number for Brent Weaver is 1093474991 and holds a License No. ICPR-028 (Wyoming).

The current practice location address for Brent Weaver is 1221 W 5Th St, Sheridan, WY and can be reached out via phone at 307-674-4405. You can also correspond with Brent Weaver through the mailing address at 909 LONG DR STE C, SHERIDAN, WY - 82801-3282 (mailing address contact number: ).

Location: 1221 W 5Th St, Sheridan, WY, 82801-3282
person
Provider Profile Details
NPI Number
1093474991
Provider Name
Brent Weaver
Credential
Provider Entity Type
Individual
Gender
Male
Address
1221 W 5Th St, Sheridan, WY, 82801-3282
Phone Number
307-674-4405
Fax Number
Provider Enumeration Date
12/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1221 W 5Th St
City
State
Zip
82801-2701
Phone Number
307-674-4405
Fax Number
person
Provider Business Mailing Address Details
Address
1221 W 5Th St
City
State
Zip
82801-2701
Phone Number
307-674-4405
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
ICPR-028 (Wyoming)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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