Weaver, Kathryn Jo

Weaver, Kathryn Jo is an individual health care provider with primary practice located at 101 N Coronado Dr Ste A , Sierra Vista AZ 85635-6359. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Weaver, Kathryn Jo can be contacted via phone (520) 343-2940.

Contact Information

Primary practice address
101 N Coronado Dr Ste A Sierra Vista AZ 85635-6359
Phone: (520) 343-2940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LAT-305 Wyoming
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-579 Wyoming

Profile Details

NPI number 1114243342
LBN Legal business name Weaver, Kathryn Jo
Credentials LCSW & LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2010
Last updated Aug 22nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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