Provider Demographics
NPI:1730534397
Name:WEAVER, CHRISTINA (LPCC-S)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:WEAVER
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 SCHNEIDER ST NE APT L5
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44721-3295
Mailing Address - Country:US
Mailing Address - Phone:419-606-5014
Mailing Address - Fax:
Practice Address - Street 1:712 SCHNEIDER ST NE APT L5
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44721-3295
Practice Address - Country:US
Practice Address - Phone:330-451-6296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional