Tabatha L Bird Weaver, LPC,MA, MFT

NPI #1053502310 in Saint Helens, Oregon

Provider Information

NPI Number
1053502310
Entity Type
Individual
Name
Tabatha L Bird Weaver, LPC,MA, MFT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC,MA, MFT
Enumeration Date
Aug 1, 2007
Last Updated
Feb 25, 2008

Practice Location

Address
58646 MCNULTY WAY
State
Oregon
ZIP Code
97051-6210
Phone
(503) 397-5211

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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