Individual
RENEE WEEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
11 S MAIN ST, RANDOLPH, VT 05060-1330
(802) 728-4466
(802) 728-4197
Mailing address
PO BOX 5, WEST NEWBURY, VT 05085-0005
(802) 439-5153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000610
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009455
VHAP
VT
01
—
14Y001579VY01
ANTHEM
VT
01
—
2132009
CIGNA
VT
01
—
59254
BLUE CROSS
VT
Enumeration date
11/01/2006
Last updated
07/08/2007
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