MISS Chloe Lane Weaver, MSW

NPI #1013689330 in Fairfield, Illinois

Provider Information

NPI Number: 1013689330
Entity Type: Individual
Name: MISS Chloe Lane Weaver, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: MSW
Enumeration Date: Oct 5, 2021
Last Updated: Oct 5, 2021

Practice Location

Address: 401 NORTH BASIN ROAD
City: Fairfield
State: Illinois
ZIP Code: 62837
Phone: (618) 516-5326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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