Individual provider · Type 1 NPI

Mark Shannon Weaver, MS, LPC

Mental Health Counselor · Raleigh, NC

NPI number 1508928680 Active

Practice location

2000 Yonkers Rd
Raleigh, NC 27604-2258

Call (919) 896-7536 Map

Mailing address

104 Ashley Rd
Apex, NC 27539-9353

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X3471 (NC)
Mental Health Counselor Primary 101YM0800X3471 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1508928680

Mark Shannon Weaver, MS, LPC's National Provider Identifier is 1508928680, issued on Dec 14, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Dec 2, 2015.