Provider Demographics
NPI:1144378688
Name:WEIGHT, MARCI N (LPC)
Entity Type:Individual
Prefix:
First Name:MARCI
Middle Name:N
Last Name:WEIGHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 N MAIN ST
Mailing Address - Street 2:SUITE 701
Mailing Address - City:TOOELE
Mailing Address - State:UT
Mailing Address - Zip Code:84074-2161
Mailing Address - Country:US
Mailing Address - Phone:435-882-7928
Mailing Address - Fax:435-882-7928
Practice Address - Street 1:185 N MAIN ST
Practice Address - Street 2:SUITE 701
Practice Address - City:TOOELE
Practice Address - State:UT
Practice Address - Zip Code:84074-2161
Practice Address - Country:US
Practice Address - Phone:435-882-7928
Practice Address - Fax:435-882-7928
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5414790-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional