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Klarissa J Weaver
Mental Health Counselor in Jacksonville, North Carolina
NPI 1851800411

Klarissa J Weaver is a Mental Health Counselor based in Jacksonville, NC and is specialized in Mental Health. Klarissa J Weaver practices in Jacksonville, NC. The NPI Number for Klarissa J Weaver is 1851800411 and holds a License No. (North Carolina).

The current practice location address for Klarissa J Weaver is 102 Elizabeth St Ste C, Jacksonville, NC and can be reached out via phone at 910-333-0814.

Location: 102 Elizabeth St Ste C, Jacksonville, NC, 28540-5679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851800411
Provider Name
Klarissa J Weaver
Credential
Provider Entity Type
Individual
Gender
Female
Address
102 Elizabeth St Ste C, Jacksonville, NC, 28540-5679
Phone Number
910-333-0814
Fax Number
Provider Enumeration Date
09/27/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110026265E 05 MA
institution
Provider Business Practice Location Address Details
Address
102 Elizabeth St Ste C
City
Jacksonville
State
North Carolina
Zip
28540-5679
Phone Number
910-333-0814
Fax Number
person
Provider Business Mailing Address Details
Address
102 Elizabeth St Ste C
City
Jacksonville
State
North Carolina
Zip
28540-5679
Phone Number
910-333-0814
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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