Basic Information
| Provider Information | |||||||||
| NPI: | 1780816140 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WEEKS | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCSW, ACSW, CEAP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 144 | ||||||||
| Address2: | 34 LAVELLE CT | ||||||||
| City: | UNALASKA | ||||||||
| State: | AK | ||||||||
| PostalCode: | 99685 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9075811202 | ||||||||
| FaxNumber: | 9075812331 | ||||||||
| Practice Location | |||||||||
| Address1: | 34 LAVELLE COURT | ||||||||
| Address2: | ILIULIUK FAMILY AND HEALTH SERVICES | ||||||||
| City: | UNALASKA | ||||||||
| State: | AK | ||||||||
| PostalCode: | 996850144 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9075811202 | ||||||||
| FaxNumber: | 9075812331 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2009 | ||||||||
| LastUpdateDate: | 02/08/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 1473 | NH | N | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | 1106 | AK | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.