Individual provider · Type 1 NPI

Stephanie Jean Weaver

Mental Health Counselor · Gresham, OR

NPI number 1306180245 Active

Practice location

801 NW Wallula Ave
Gresham, OR 97030-5455

Call (503) 726-3740 Map

Mailing address

125 SE 31st Ave
Portland, OR 97214-1922

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306180245

Stephanie Jean Weaver's National Provider Identifier is 1306180245, issued on Nov 15, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Nov 15, 2012.