Individual provider · Type 1 NPI
Laura Suzanne Weaver, LCDC-I
Addiction (Substance Use Disorder) Counselor · Waco, TX
NPI number
1821578709
Active
Practice location
110 S 12th St
Waco, TX 76701-1810
Fax (254) 756-3133
Mailing address
PO Box 890
Waco, TX 76703-0890
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14728 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1821578709
Laura Suzanne Weaver, LCDC-I's National Provider Identifier is 1821578709, issued on Aug 20, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waco, TX. The record was last updated on Apr 7, 2021.