Provider Demographics
NPI:1235385345
Name:TRUCHON WEYERS, PATRICIA ANNE (LPC, LADC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANNE
Last Name:TRUCHON WEYERS
Suffix:
Gender:F
Credentials:LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1774
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74465-1774
Mailing Address - Country:US
Mailing Address - Phone:918-456-9395
Mailing Address - Fax:918-456-4972
Practice Address - Street 1:20099 E HORSESHOE BEND RD
Practice Address - Street 2:
Practice Address - City:PARK HILL
Practice Address - State:OK
Practice Address - Zip Code:74451-4135
Practice Address - Country:US
Practice Address - Phone:918-456-9395
Practice Address - Fax:918-456-4972
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-09
Last Update Date:2008-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLPC-2708 & LADC-431101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health