Provider Demographics
NPI:1447427083
Name:WEEKS, DOROTHY M (LPC)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:M
Last Name:WEEKS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O.B 358
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:NM
Mailing Address - Zip Code:87418-4559
Mailing Address - Country:US
Mailing Address - Phone:168-235-1142
Mailing Address - Fax:168-235-1142
Practice Address - Street 1:1195 COUNTY RD 103
Practice Address - Street 2:
Practice Address - City:HESPERUS
Practice Address - State:CO
Practice Address - Zip Code:81326
Practice Address - Country:US
Practice Address - Phone:168-235-1142
Practice Address - Fax:168-235-1142
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0098681101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health