person
Kevin Weaver
Mental Health Counselor in Ruston, Louisiana
NPI 1376073189

Kevin Weaver is a Mental Health Counselor based in Ruston, LA and is specialized in Mental Health. Kevin Weaver practices in Ruston, LA. The NPI Number for Kevin Weaver is 1376073189 and holds a License No. (Louisiana).

The current practice location address for Kevin Weaver is 775 South Bonner Street, Ruston, LA and can be reached out via phone at 318-254-7050 and via fax at 318-254-7053. You can also correspond with Kevin Weaver through the mailing address at 775 S BONNER ST, RUSTON, LA - 71270-5801 (mailing address contact number: 318-254-7050).

Location: 775 South Bonner Street, Ruston, LA, 71270-5801
person
Provider Profile Details
NPI Number
1376073189
Provider Name
Kevin Weaver
Credential
Provider Entity Type
Individual
Gender
Male
Address
775 South Bonner Street, Ruston, LA, 71270-5801
Phone Number
318-254-7050
Fax Number
318-254-7053
Provider Enumeration Date
06/14/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396055273 01 NEW HORIZON COUNSELING AGENCY
institution
Provider Business Practice Location Address Details
Address
775 South Bonner Street
City
State
Zip
71270
Phone Number
318-254-7050
Fax Number
318-254-7053
person
Provider Business Mailing Address Details
Address
775 South Bonner Street
City
State
Zip
71270
Phone Number
318-254-7050
Fax Number
318-254-7053
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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