Provider Demographics
NPI:1295061190
Name:WEITZ, JOANN (LMHC)
Entity type:Individual
Prefix:MS
First Name:JOANN
Middle Name:
Last Name:WEITZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 MOUNT LORETTA AVE
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-7826
Mailing Address - Country:US
Mailing Address - Phone:563-588-0558
Mailing Address - Fax:583-557-3140
Practice Address - Street 1:1229 MOUNT LORETTA AVE
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-7826
Practice Address - Country:US
Practice Address - Phone:563-588-0558
Practice Address - Fax:583-557-3140
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health