Individual provider · Type 1 NPI

Amanda Morgan Weaver, LAC

Mental Health Counselor · Bentonville, AR

NPI number 1811912652 Active

Practice location

2508 SE 20th St
Bentonville, AR 72712-4008

Fax (479) 845-2111

Mailing address

PO Box 6430
Springdale, AR 72766-6430

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA0512080 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1811912652

Amanda Morgan Weaver, LAC's National Provider Identifier is 1811912652, issued on Jul 13, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bentonville, AR. The record was last updated on Jul 8, 2007.