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Christian Weaver

Peer Specialist in Louisa, KY. Individual provider (NPI-1).

NPI number1982257291
StatusActive
Last updated in NPPESJul 17, 2019

Details

NPI
1982257291
Entity type
Individual (NPI-1)
Name
Christian Weaver
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 17, 2019
Last updated
Jul 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

125 S Main Cross St
Louisa, KY 41230-1065

Phone 606-638-0938

Mailing address

Po Box 726
Louisa, KY 41230-0726

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