Weaver, Traci L
Weaver, Traci L is an individual health care provider with primary practice located at 2 Wellman Ave Suite 350, Nashua NH 03064-1463. 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 / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Weaver, Traci L can be contacted via phone (603) 459-9462.Contact Information
Primary practice address
2 Wellman Ave Suite 350
Nashua NH 03064-1463
Phone: (603) 459-9462
Fax: (603) 595-0758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1039 | New Hampshire |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0910 | New Hampshire |
Profile Details
| NPI number | 1811246218 |
|---|---|
| LBN Legal business name | Weaver, Traci L |
| Credentials | LCMHC, MLADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2012 |
| Last updated | Dec 26th, 2014 - about 12 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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