Provider Demographics
NPI:1952639460
Name:WELLER, MEGAN ZOLA (PHD, MFT, LCADC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ZOLA
Last Name:WELLER
Suffix:
Gender:F
Credentials:PHD, MFT, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 CAUGHLIN XING STE 200
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-0612
Mailing Address - Country:US
Mailing Address - Phone:775-622-9900
Mailing Address - Fax:775-622-9928
Practice Address - Street 1:1010 CAUGHLIN XING STE 200
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519-0612
Practice Address - Country:US
Practice Address - Phone:775-622-9900
Practice Address - Fax:775-622-9928
Is Sole Proprietor?:No
Enumeration Date:2009-11-20
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01221106H00000X
NVMI0234106H00000X
COMFT0001814106H00000X
CA125154106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist