| Doctor Name: | TERESA IRENE WINN |
| NPI Number: | 1073663126 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, MAC |
| License Number: | LPC003091 |
| Business Practice Address: | 115 Northside Drive Suite 115 West Park Professionals Statesboro, GA - 304584591 |
| Business Phone Number: | 9124899802 |
| Business Fax Number: | 9123692030 |
| Mailing Address: | Po Box 1133, STATESBORO |
| State: | GA |
| Postal Code: | 304591133 |
| Phone Number: | 9124899808 |
| Fax Number: | 9123692030 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC003091 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |