Individual
TIMOTHY J WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
115 WILLOW ST W STE 1, DETROIT LAKES, MN 56501-3922
(218) 844-5191
Mailing address
1202 23RD ST S, FARGO, ND 58103-2951
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300858
MN
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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