Provider Demographics
NPI:1508196460
Name:WEEKS, STEPHEN EARL (MS, CRC, LPC CAN)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:EARL
Last Name:WEEKS
Suffix:
Gender:M
Credentials:MS, CRC, LPC CAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 E CHOCTAW AVE
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-5028
Mailing Address - Country:US
Mailing Address - Phone:918-302-0052
Mailing Address - Fax:918-302-0082
Practice Address - Street 1:318 E CHOCTAW AVE
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-5028
Practice Address - Country:US
Practice Address - Phone:918-302-0052
Practice Address - Fax:918-302-0082
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health