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General NPI Number Information
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NPI Number | 1538291554
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Entity Type | Organization
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Legal Business Name | WEEKS AND VIETRI COUNSELING & COMMUNITY SERVICES. PS
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 818 S WASHINGTON ST
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City | MOSCOW
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State | ID
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Zip | 83843-3049
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Country | US
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Telephone | 208-882-8514
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Fax | 208-882-2784
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Provider Business Mailing Address
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Address Line | 818 S WASHINGTON ST
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City | MOSCOW
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State | ID
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Zip | 83843-3049
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Country | US
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Telephone | 208-882-8514
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Fax | 208-882-2784
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Authorized Official
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Title or Position | OWNER
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Name | DR. CATHERINE JEAN WEEKS
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Credential | PH.D.
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Telephone | 208-882-8514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 202119
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 217
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License Number State | ID
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