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NPI 1063375954

NPI 1063375954 : ALLISON WEAVER DBA WEAVING HOPE THERAPY : ROSEVILLE, CA

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General NPI Number Information
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    NPI Number           |    1063375954
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLISON WEAVER DBA WEAVING HOPE THERAPY 
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Dates
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    Enumeration Date     |    12/08/2025
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    Last Update Date     |    12/08/2025
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Provider Practice Location Address
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    Address Line         |    2412 PROFESSIONAL DR 
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    City                 |    ROSEVILLE
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    State                |    CA
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    Zip                  |    95661-7773
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    Country              |    US
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    Telephone            |    916-235-3767
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2412 PROFESSIONAL DR 
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    City                 |    ROSEVILLE
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    State                |    CA
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    Zip                  |    95661-7773
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    Country              |    US
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    Telephone            |    916-235-3767
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICENSED MARRIAGE & FAMILY THERAPIS
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    Name                 |     ALLISON JANAE WEAVER 
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    Credential           |    LMFT
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    Telephone            |    916-235-3767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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