Kory C Weaver, LCSW
NPI #1073660494 in Averill Park, New York
Provider Information
- NPI Number
- 1073660494
- Entity Type
- Individual
- Name
- Kory C Weaver, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCSW
- Enumeration Date
- Jan 5, 2007
- Last Updated
- Aug 2, 2024
Practice Location
- Address
- 2 DEBBIE LN
- City
- Averill Park
- State
- New York
- ZIP Code
- 12018-2732
- Phone
- (518) 992-6741
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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