NPI 1053993501

Shannon Weaver, LCSW

Practitioner Mental Health Counselor Park City, UT

Practice location

Address: 3100 Pinebrook Rd STE 1250b, Park City, UT 84098-5663
Phone: (801) 631-7476
Mailing address: 882 S 550 E, Heber City, UT 84032-4547

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 5121600-3501 (UT)

Other Counselor providers in Utah →

Registry record

NPI: 1053993501
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Apr 2021
Record last updated: 24 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.