Provider Information for 1659862795
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CHRISTOPHER JAMES WEBER LCSW
Sex: Male
NPI: 1659862795
Last Updated: 2019-06-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1659862795 | ||||||||||||
| Enumeration Date | 2018-05-24 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 103 WHITEWATER PL STE A POLSON, MT 59860-4502 United States Phone: 406-883-4061 | Fax: | ||||||||||||
| Primary Practice Address | 103 WHITEWATER PL STE A POLSON, MT 59860-4502 United States Phone: 406-883-4061 | Fax: | ||||||||||||
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