person
Ellis Weaver, LMHC
Mental Health Counselor in Somerville, Massachusetts
NPI 1508328212

Ellis Weaver is a Mental Health Counselor based in Somerville, MA and is specialized in Mental Health. Ellis Weaver practices in Somerville, MA and has the professional credentials of LMHC. The NPI Number for Ellis Weaver is 1508328212 and holds a License No. 11190 (Massachusetts).

The current practice location address for Ellis Weaver is 53 Chester St, Somerville, MA and can be reached out via phone at 203-654-1531.

Location: 53 Chester St, Somerville, MA, 02144-2421
person
Provider Profile Details
NPI Number
1508328212
Provider Name
Ellis Weaver
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
53 Chester St, Somerville, MA, 02144-2421
Phone Number
203-654-1531
Fax Number
Provider Enumeration Date
04/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
53 Chester St
City
State
Zip
02144-3001
Phone Number
203-654-1531
Fax Number
person
Provider Business Mailing Address Details
Address
53 Chester St
City
State
Zip
02144-3001
Phone Number
203-654-1531
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
11190 (Massachusetts)
Definition
Definition to come...
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