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Mr. Mark Shannon Weaver, MS,LPC
Mental Health Counselor in Raleigh, North Carolina
NPI 1508928680

Mark Shannon Weaver is a Mental Health Counselor based in Apex, NC and is specialized in Mental Health. Mark Shannon Weaver practices in Raleigh, NC and has the professional credentials of MS,LPC. The NPI Number for Mark Shannon Weaver is 1508928680 and holds a License No. 3471 (North Carolina).

The current practice location address for Mark Shannon Weaver is 2000 Yonkers Rd, Raleigh, NC and can be reached out via phone at 919-896-7536.

Location: 2000 Yonkers Rd, Raleigh, NC, 27539-9353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508928680
Provider Name
Mark Shannon Weaver
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
2000 Yonkers Rd, Raleigh, NC, 27539-9353
Phone Number
919-896-7536
Fax Number
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
142CE 01 NC BCBS
6102622 05 NC
institution
Provider Business Practice Location Address Details
Address
2000 Yonkers Rd
City
Raleigh
State
North Carolina
Zip
27604-2258
Phone Number
919-896-7536
Fax Number
person
Provider Business Mailing Address Details
Address
2000 Yonkers Rd
City
Raleigh
State
North Carolina
Zip
27604-2258
Phone Number
919-896-7536
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
3471 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
3471 (North Carolina)
Definition
Definition to come...
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