Most Relevant Information
Provider Data
| NPI Number: | 1003697913 |
| Provider Name: | MADELINE WEERTS AMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | AMFT136368 |
Most Important Dates
| Enumeration Date: | 10/09/2023 |
| Last Updated: | 10/09/2023 |
Provider Practice Location
8600 LA MESA BLVD STE B
LA MESA
CA
919429572
Practice Location Phone/Fax
| Phone: | 6197336414 |
| Fax: |
Provider Mailing Location
8600 LA MESA BLVD STE B
LA MESA
CA
919429572
Provider Mailing Phone/Fax
| Phone: | 6197336414 |
| Fax: |