Randy Weaver, LCSW

NPI 1215588918 · on the registry since 2019 · sole proprietor

Practice

Address: 4055 S 700 E Ste 202
Salt Lake City, UT 84107
Phone: (801) 209-5134
Organisation at this address: Real Talk Llc
Hopeful Alliance
Transformative Care
Amy Henderson Lcsw Llc
Hawk Counseling Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah