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Mrs. Theresa M. Weaver, MA,LPC
Professional Counselor in Bay City, Michigan
NPI 1255393401

Theresa M. Weaver is a Professional Counselor based in Bay City, MI and is specialized in Professional. Theresa M. Weaver practices in Bay City, MI and has the professional credentials of MA,LPC. The NPI Number for Theresa M. Weaver is 1255393401 and holds a License No. 6401004225 (Michigan).

The current practice location address for Theresa M. Weaver is 200 S Wenona St, Bay City, MI and can be reached out via phone at 989-893-6162.

Location: 200 S Wenona St, Bay City, MI, 48706-8820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255393401
Provider Name
Theresa M. Weaver
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
200 S Wenona St, Bay City, MI, 48706-8820
Phone Number
989-893-6162
Fax Number
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12443729 01 MI CAQH
institution
Provider Business Practice Location Address Details
Address
200 S Wenona St
City
Bay City
State
Michigan
Zip
48706-8820
Phone Number
989-893-6162
Fax Number
person
Provider Business Mailing Address Details
Address
200 S Wenona St
City
Bay City
State
Michigan
Zip
48706-8820
Phone Number
989-893-6162
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401004225 (Michigan)
Definition
Definition to come...
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