KEVIN WEAVER

Counselor - Mental Health

Active Individual
NPI: 1376073189

Practice Address

775 SOUTH BONNER STREET
Ruston, LA 71270

Phone: (318) 254-7050

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1376073189 is the National Provider Identifier for KEVIN WEAVER, a Counselor - Mental Health provider located in Ruston, LA. This NPI was enumerated on June 14, 2017.
KEVIN WEAVER practices at 775 SOUTH BONNER STREET, Ruston, LA 71270.

Quick Facts

NPI
1376073189
Type
Individual
Enumerated
Jun 14, 2017
Last Updated
Jul 21, 2022

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