Individual provider · Type 1 NPI
Rose Marie Weaver, CADC-II
Addiction (Substance Use Disorder) Counselor · Clearlake, CA
NPI number
1699813469
Active
Practice location
15850 A Dam Road
Clearlake, CA 95422
Fax (707) 994-1875
Mailing address
16425 Dam Rd Spc 39
Clearlake, CA 95422-9787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A3727897 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1699813469
Rose Marie Weaver, CADC-II's National Provider Identifier is 1699813469, issued on Feb 2, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake, CA. The record was last updated on Oct 5, 2009.