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1538291554

NPI Code Detail

MEDICARE: WEEKS AND VIETRI COUNSELING & COMMUNITY SERVICES. PS

MEDICARE: WEEKS AND VIETRI COUNSELING & COMMUNITY SERVICES. PS

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	103TA0400X	Addiction (Substance Use Disorder) Psychologist	202119	ID
2	101YP2500X	Professional Counselor	217	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	820495613AA	OTHER	WA	UNIFORM INSURANCE
3	N6278	OTHER	ID	BLUE CROSS OF IDAHO
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	2V29936	OTHER	ID	BUSINESS PSYCHOLOGY ASSOC
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	000010016330	OTHER	ID	REGENCE BLUE SHIELD

General Provider Information

NPI Number	:	1538291554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEEKS AND VIETRI COUNSELING & COMMUNITY SERVICES. PS

Provider Business Mailing Address
First Line	:	818 S WASHINGTON ST
Second Line	:
City	:	MOSCOW
State	:	ID
Zip	:	83843-3049
Country	:	US
Telephone Number	:	208-882-8514
Fax Number	:	208-882-2784

Provider Business Practice Location Address
First Line	:	818 S WASHINGTON ST
Second Line	:
City	:	MOSCOW
State	:	ID
Zip	:	83843-3049
Country	:	US
Telephone Number	:	208-882-8514
Fax Number	:	208-882-2784

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CATHERINE JEAN WEEKS
Credential	:	PH.D.
Telephone Number	:	208-882-8514

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	06/11/2019

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Directions to “WEEKS AND VIETRI COUNSELING & COMMUNITY SERVICES. PS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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