TIMOTHY M WEAVER

TAOS, NM
NPI1386698785
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0088771)
Enumeration Date2006-05-20
Last Update Date2007-07-08
Business Address
Mr. TIMOTHY M WEAVER
413 SIPAPU ROAD BOX 6952
TAOS, NM 87571
Phone number: 505-758-5857
Mailing Address
Mr. TIMOTHY M WEAVER
HC 81 BOX 13
QUESTA, NM 87556
Phone number: 505-770-6737