MEDICARE: KARI LYNN WEILER LMFT

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	106H00000X	Marriage & Family Therapist	1958	CO

General Provider Information

NPI Number	:	1124476239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI LYNN WEILER LMFT

Provider Business Mailing Address
First Line	:	2809 ANNELISE WAY
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-7628
Country	:	US
Telephone Number	:	303-909-0177
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 W DRAKE RD STE 141
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-6319
Country	:	US
Telephone Number	:	303-909-0177
Fax Number	:

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

Provider Enumeration Date	:	05/31/2016
Last Update Date	:	01/17/2022

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