NPI 1184055048

Jack Weaver, LPC

Practitioner Professional Counselor Fort Payne, AL

Practice location

Address: 701b Gault Ave N, Fort Payne, AL 35967-2627
Phone: (256) 979-1620

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC03852 (AL)

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Registry record

NPI: 1184055048
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Dec 2013
Record last updated: 23 Jul 2026

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.