Individual provider · Type 1 NPI

Shannon Weaver, LCSW

Mental Health Counselor · Park City, UT

NPI number 1053993501 Active

Practice location

3100 Pinebrook Rd Ste 1250B
Park City, UT 84098-5663

Call (801) 631-7476 Map

Mailing address

882 S 550 E
Heber City, UT 84032-4547

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5121600-3501 (UT)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1053993501

Shannon Weaver, LCSW's National Provider Identifier is 1053993501, issued on Apr 24, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Park City, UT. The record was last updated on Apr 24, 2021.