MEDICARE: JENNIFER WEEKS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C4552	OR

General Provider Information

NPI Number	:	1437580313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER WEEKS LPC

Provider Business Mailing Address
First Line	:	1104 NE REVERE AVE
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-4150
Country	:	US
Telephone Number	:	541-480-9443
Fax Number	:

Provider Business Practice Location Address
First Line	:	2214 NE DIVISION ST STE 101
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-3551
Country	:	US
Telephone Number	:	541-480-9443
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2013
Last Update Date	:	07/01/2021

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Directions to “ JENNIFER WEEKS LPC” Practice Location

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