Provider Demographics
NPI:1760475867
Name:WEEKS, ROBERT ROLAND (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ROLAND
Last Name:WEEKS
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 BROADWAY
Mailing Address - Street 2:SUITE 318
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4304
Mailing Address - Country:US
Mailing Address - Phone:206-459-7353
Mailing Address - Fax:
Practice Address - Street 1:1001 BROADWAY
Practice Address - Street 2:SUITE 318
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4304
Practice Address - Country:US
Practice Address - Phone:206-459-7353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALMHC #3434101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health