Individual provider · Type 1 NPI

Jason Dewayne Weaver

Addiction (Substance Use Disorder) Counselor · Corbin, KY

NPI number 1962893271 Active

Practice location

1203 American Greeting Card Rd
Corbin, KY 40701-4811

Mailing address

PO Box 568
Corbin, KY 40702-0568

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1962893271

Jason Dewayne Weaver's National Provider Identifier is 1962893271, issued on Feb 9, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Corbin, KY. The record was last updated on Feb 9, 2015.