Individual provider · Type 1 NPI
Chloe Lane Weaver, MSW
Addiction (Substance Use Disorder) Counselor · Fairfield, IL
NPI number
1013689330
Active
Practice location
401 North Basin Road
Fairfield, IL 62837
Mailing address
831 County Road 2150 E
Fairfield, IL 62837-2824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1013689330
Chloe Lane Weaver, MSW's National Provider Identifier is 1013689330, issued on Oct 5, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, IL. The record was last updated on Oct 5, 2021.