Weyand, Michael Charles

Weyand, Michael Charles is an individual health care provider with primary practice located at 108 Se 124Th Ave , Vancouver WA 98684-6015. He 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 / Addiction (Substance Use Disorder) is his primary health care specialty. Weyand, Michael Charles can be contacted via phone (360) 891-7421.

Contact Information

Primary practice address
108 Se 124Th Ave Vancouver WA 98684-6015
Phone: (360) 891-7421
Fax: (360) 253-8358
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP00004960 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 03-R-04 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2-00645 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00007884 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X L3386 Oregon

Profile Details

NPI number 1871586222
LBN Legal business name Weyand, Michael Charles
Credentials MSW, LICSW, LCSW,
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jun 12th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871586222 NPPES
Washington MEDICAID 1871586222

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