person
Patricia Gillette Weaver, LPC
Professional Counselor in Clemmons, North Carolina
NPI 1619047727

Patricia Gillette Weaver is a Professional Counselor based in Clemmons, NC and is specialized in Professional. Patricia Gillette Weaver practices in Clemmons, NC and has the professional credentials of LPC. The NPI Number for Patricia Gillette Weaver is 1619047727 and holds a License No. 761 (North Carolina).

The current practice location address for Patricia Gillette Weaver is 3802 Clemmons Rd # H, Clemmons, NC and can be reached out via phone at 336-462-0369.

Location: 3802 Clemmons Rd # H, Clemmons, NC, 27012-8478
person
Provider Profile Details
NPI Number
1619047727
Provider Name
Patricia Gillette Weaver
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3802 Clemmons Rd # H, Clemmons, NC, 27012-8478
Phone Number
336-462-0369
Fax Number
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86161 01 NC NCBCBS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
3802 Clemmons Rd # H
City
State
Zip
27012-8478
Phone Number
336-462-0369
Fax Number
person
Provider Business Mailing Address Details
Address
3802 Clemmons Rd # H
City
State
Zip
27012-8478
Phone Number
336-462-0369
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
761 (North Carolina)
Definition
Definition to come...
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