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Jeremy Allen Weaver, BS
Peer Specialist in Canon City, Colorado
NPI 1184301848

Jeremy Allen Weaver is a Peer Specialist based in Canon City, CO. Jeremy Allen Weaver practices in Canon City, CO and has the professional credentials of BS. The NPI Number for Jeremy Allen Weaver is 1184301848 and holds a License No. (Colorado).

The current practice location address for Jeremy Allen Weaver is 1435 Mckinley St, Canon City, CO and can be reached out via phone at 719-280-3020.

Location: 1435 Mckinley St, Canon City, CO, 81212-4453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184301848
Provider Name
Jeremy Allen Weaver
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
1435 Mckinley St, Canon City, CO, 81212-4453
Phone Number
719-280-3020
Fax Number
Provider Enumeration Date
07/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1435 Mckinley St
City
Canon City
State
Colorado
Zip
81212-4453
Phone Number
719-280-3020
Fax Number
person
Provider Business Mailing Address Details
Address
1435 Mckinley St
City
Canon City
State
Colorado
Zip
81212-4453
Phone Number
719-280-3020
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Colorado)
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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