Individual
SUSAN WEEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4500 I 55 N, SUITE 220, JACKSON, MS 39211-5930
(601) 201-0148
Mailing address
4500 I-55 NORTH, HIGHLAND VILLAGE, SUITE 220, JACKSON, MS 39211-5931
(601) 201-0148
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1068
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12629403
CAQH
MS
Enumeration date
04/28/2014
Last updated
04/28/2014
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