Weaver, Kathryn Jo
Weaver, Kathryn Jo is an individual health care provider with primary practice located at 101 N Coronado Dr Ste A , Sierra Vista AZ 85635-6359. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Weaver, Kathryn Jo can be contacted via phone (520) 343-2940.Contact Information
Primary practice address
101 N Coronado Dr Ste A
Sierra Vista AZ 85635-6359
Phone: (520) 343-2940
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LAT-305 | Wyoming |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-579 | Wyoming |
Profile Details
NPI number | 1114243342 |
---|---|
LBN Legal business name | Weaver, Kathryn Jo |
Credentials | LCSW & LAT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2010 |
Last updated | Aug 22nd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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