person
Mr. Eric Thomas Weaver, LPC
Mental Health Counselor in Kentwood, Michigan
NPI 1740818509

Eric Thomas Weaver is a Mental Health Counselor based in Kentwood, MI and is specialized in Mental Health. Eric Thomas Weaver practices in Kentwood, MI and has the professional credentials of LPC. The NPI Number for Eric Thomas Weaver is 1740818509 and holds a License No. 6401015567 (Michigan).

The current practice location address for Eric Thomas Weaver is 2744 Castle Bluff Ct Se, Kentwood, MI and can be reached out via phone at 330-420-5655.

Location: 2744 Castle Bluff Ct Se, Kentwood, MI, 49508-5096
person
Provider Profile Details
NPI Number
1740818509
Provider Name
Eric Thomas Weaver
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2744 Castle Bluff Ct Se, Kentwood, MI, 49508-5096
Phone Number
330-420-5655
Fax Number
Provider Enumeration Date
03/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401015567 01 MI MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
institution
Provider Business Practice Location Address Details
Address
2744 Castle Bluff Ct Se
City
State
Zip
49512-8083
Phone Number
330-420-5655
Fax Number
person
Provider Business Mailing Address Details
Address
2744 Castle Bluff Ct Se
City
State
Zip
49512-8083
Phone Number
330-420-5655
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6401015567 (Michigan)
Definition
Definition to come...
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