| Doctor Name: | MARY WINDS |
| NPI Number: | 1043641186 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISAC |
| License Number: | 11877 |
| Business Practice Address: | 8 E Cottonwood St Cottonwood, AZ - 863266237 |
| Business Phone Number: | 9286342236 |
| Business Fax Number: | 9286348960 |
| Mailing Address: | 8 E Cottonwood St, COTTONWOOD |
| State: | AZ |
| Postal Code: | 863266237 |
| Phone Number: | 9286342236 |
| Fax Number: | 9286348960 |
| NPI Enumeration Date: | 11/27/2013 |
| NPI Last Update Date: | 11/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 11877 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |