MEDICARE: MS. JOANN L WESTON M.A.,L.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2014004873	MO
2	101YM0800X	Mental Health Counselor	2014004873	MO

General Provider Information

NPI Number	:	1952859886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOANN L WESTON M.A.,L.P.C.

Provider Business Mailing Address
First Line	:	400 N WASHINGTON ST STE 101
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-1702
Country	:	US
Telephone Number	:	573-516-7904
Fax Number	:	573-915-5039

Provider Business Practice Location Address
First Line	:	400 N WASHINGTON ST STE 101
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-1702
Country	:	US
Telephone Number	:	573-516-7904
Fax Number	:	573-915-5039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2016
Last Update Date	:	04/13/2026

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