Doctor Name: | MR. MICHAEL WILLIAM WINAKOR |
NPI Number: | 1013353515 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 8989 |
Business Practice Address: | 117 E Center St Manchester, CT - 060405246 |
Business Phone Number: | 8605784808 |
Business Fax Number: | 8663551052 |
Mailing Address: | 117 E Center St, MANCHESTER |
State: | CT |
Postal Code: | 060405246 |
Phone Number: | 8605784808 |
Fax Number: | 8663551052 |
NPI Enumeration Date: | 05/12/2013 |
NPI Last Update Date: | 05/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 8989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |