MEDICARE: WILLIAM C. WEBER & ASSOCIATES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1689686339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM C. WEBER & ASSOCIATES

Provider Business Mailing Address
First Line	:	6201 CONSTITUTION DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-1517
Country	:	US
Telephone Number	:	260-432-0696
Fax Number	:	260-436-5795

Provider Business Practice Location Address
First Line	:	6201 CONSTITUTION DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-1517
Country	:	US
Telephone Number	:	260-432-0696
Fax Number	:	260-436-5795

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. WILLIAM C. WEBER
Credential	:	MS, LCSW, CEAP
Telephone Number	:	260-432-0696

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	09/11/2025

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