Weber, Carissa M

Weber, Carissa M is an individual health care provider with primary practice located at 9205 Woehrle Ln Ste 453 , Marshfield WI 54449-9674. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Weber, Carissa M can be contacted via phone (715) 451-7530.

Contact Information

Primary practice address
9205 Woehrle Ln Ste 453 Marshfield WI 54449-9674
Phone: (715) 451-7530
Fax: (715) 848-8665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5464125 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15875-132 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 5464-125 Wisconsin

Profile Details

NPI number 1962889436
LBN Legal business name Weber, Carissa M
Credentials LPC, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2015
Last updated Oct 13th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962889436 NPPES
Wisconsin Other 5464-125 STATE OF WISCONSIN LICENSE
Wisconsin Other 15875-132 STATE OF WISCONSIN LICENSE

Popular Providers