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NPI Code Detail

MEDICARE: CHRISTY LYNN WEIGEL LPCC

MEDICARE: CHRISTY LYNN WEIGEL LPCC
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
1101YM0800XMental Health CounselorAPCC7358CA
2101YP2500XProfessional CounselorLPCC12854CA

General Provider Information

NPI Number : 1518590165
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY LYNN WEIGEL LPCC
Provider Business Mailing Address
First Line : 560 E HOSPITALITY LN STE 330
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92408-3546
Country : US
Telephone Number : 888-588-8995
Fax Number :
Provider Business Practice Location Address
First Line : 560 E HOSPITALITY LN STE 330
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92408-3546
Country : US
Telephone Number : 888-588-8995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2020
Last Update Date : 12/05/2024

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