Individual
NATHAN WADE WEEKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1300 HOPPE BLVD STE 6, ADA, OK 74820-2319
(580) 235-0274
Mailing address
610 E BENSON ST, WETUMKA, OK 74883-5512
(405) 380-3846
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OK
Other
Enumeration date
06/19/2023
Last updated
08/21/2024
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