MR. Jack Weaver JR., ALC
NPI #1184055048 in Fort Payne, Alabama
Provider Information
- NPI Number
- 1184055048
- Entity Type
- Individual
- Name
- MR. Jack Weaver JR., ALC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- ALC
- Enumeration Date
- Dec 3, 2013
- Last Updated
- Dec 3, 2013
Practice Location
- Address
- 521 GAULT AVE N
- City
- Fort Payne
- State
- Alabama
- ZIP Code
- 35967-2307
- Phone
- (256) 273-7216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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