Provider Demographics
NPI:1225574767
Name:WEBER, PATSY (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:PATSY
Middle Name:
Last Name:WEBER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MRS
Other - First Name:PATSY
Other - Middle Name:
Other - Last Name:WARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:1270 MICHELLE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR
Mailing Address - State:MO
Mailing Address - Zip Code:63077-1626
Mailing Address - Country:US
Mailing Address - Phone:636-266-9449
Mailing Address - Fax:
Practice Address - Street 1:1270 MICHELLE DR
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR
Practice Address - State:MO
Practice Address - Zip Code:63077-1626
Practice Address - Country:US
Practice Address - Phone:636-266-9449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-08
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017013048101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional