Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | AZ |
NPI | 1033238845 |
---|---|
Provider Name | Mr. Kathy Weeks |
First Address | Glendale, AZ 85310-4235 |
Second Address | Glendale, AZ 85310-4235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 26/07/2007 |