Individual provider · Type 1 NPI

Kristi Ann Weaver

Professional Counselor · Marion, IL

NPI number 1053669903 Active

Practice location

4505 W Deyoung St Ste 203C
Marion, IL 62959-5899

Call (219) 819-0172 Map

Fax (844) 270-4161

Mailing address

1190 Grand Oak Dr
Carbondale, IL 62901-5474

Other practice locations

  • 2311 S Illinois Ave, Carbondale, IL 62903-5912 · (618) 457-6703
  • 108 W Market St, Bloomington, IL 61701-3918 · (309) 827-5351

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X180.009792 (IL)
Professional Counselor Primary 101YP2500X180009792 (IL)

Professional Counselor: Definition to come...

16 other providers at this address

Other professional counselor providers in Marion

See all in Marion →

About NPI 1053669903

Kristi Ann Weaver's National Provider Identifier is 1053669903, issued on Aug 27, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marion, IL. The record was last updated on Oct 28, 2026.