Individual provider · Type 1 NPI
Kelly J. Weyant, CADC
Addiction (Substance Use Disorder) Counselor · Independence, IA
NPI number
1821159294
Active
Practice location
309 1st St E
Independence, IA 50644-2854
Fax (319) 334-3781
Mailing address
318 Ridgeview Dr
Independence, IA 50644-3145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1260 (IA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1821159294
Kelly J. Weyant, CADC's National Provider Identifier is 1821159294, issued on Dec 12, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Independence, IA. The record was last updated on Jul 8, 2007.