Individual provider · Type 1 NPI

Kelly Jean Weaver, MED, EDS, LPC

Professional Counselor · Lexington, SC

NPI number 1063594034 Active

Practice location

224 E Main St
Lexington, SC 29072-3546

Fax (803) 957-2042

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2760 (SC)

Professional Counselor: Definition to come...

10 other providers at this address

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About NPI 1063594034

Kelly Jean Weaver, MED, EDS, LPC's National Provider Identifier is 1063594034, issued on Oct 19, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lexington, SC. The record was last updated on Jul 8, 2007.