Doctor Name: | VICTORIA WINSETT |
NPI Number: | 1629352117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW, CDP |
License Number: | 360798-6006 |
Business Practice Address: | 302 W Steuben St Suite 5 Bingen, WA - 986059006 |
Business Phone Number: | 3609097173 |
Business Fax Number: | |
Mailing Address: | Po Box 961, BINGEN |
State: | WA |
Postal Code: | 986051661 |
Phone Number: | 3609097173 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2011 |
NPI Last Update Date: | 10/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 360798-6006 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |