| Weeks And Vietri Counseling & Community Services. Ps | |
|
818 S Washington St Moscow ID 83843-3049 | |
| (208) 882-8514 | |
| (208) 882-2784 |
| Full Name | Weeks And Vietri Counseling & Community Services. Ps |
|---|---|
| Speciality | Counselor |
| Location | 818 S Washington St, Moscow, Idaho |
| Authorized Official Name and Position | Catherine Jean Weeks (OWNER) |
| Authorized Official Contact | 2088828514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weeks And Vietri Counseling & Community Services. Ps 818 S Washington St Moscow ID 83843-3049 Ph: (208) 882-8514 | Weeks And Vietri Counseling & Community Services. Ps 818 S Washington St Moscow ID 83843-3049 Ph: (208) 882-8514 |
| NPI Number | 1538291554 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 1355579319 |
|---|---|
| Medicare Enrollment ID | O20140121000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538291554 | NPI | - | NPPES |
| 8053401 | Medicaid | ID | |
| 820495613AA | Other | WA | UNIFORM INSURANCE |
| N6278 | Other | ID | BLUE CROSS OF IDAHO |
| 8040032 | Medicaid | ID | |
| 2V29936 | Other | ID | BUSINESS PSYCHOLOGY ASSOC |
| 8041410 | Medicaid | ID | |
| 000010016330 | Other | ID | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 217 (Idaho) | Primary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 202119 (Idaho) | Secondary |
| Provider Name | Catherine Weeks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710176292 PECOS PAC ID: 4082842042 Enrollment ID: I20140827002993 |
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