Provider Demographics
NPI:1275232597
Name:WEBER, KERI ANN (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:ANN
Last Name:WEBER
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9855 PEACH ST
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:PA
Mailing Address - Zip Code:16417-9233
Mailing Address - Country:US
Mailing Address - Phone:814-449-9213
Mailing Address - Fax:
Practice Address - Street 1:2222 FILMORE AVE STE 610
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-2984
Practice Address - Country:US
Practice Address - Phone:814-449-9213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-24
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015381101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional