Individual provider · Type 1 NPI

Ellis Weaver, LMHC

Mental Health Counselor · Watertown, MA

NPI number 1508328212 Active

Practice location

23 Main St
Watertown, MA 02472-4428

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X11190 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1508328212

Ellis Weaver, LMHC's National Provider Identifier is 1508328212, issued on Apr 2, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watertown, MA. The record was last updated on Jul 29, 2024.