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NPI Code Detail

MEDICARE: CHERYL WINTERS LPC

MEDICARE: CHERYL WINTERS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0011524CO

General Provider Information

NPI Number : 1639654262
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL WINTERS LPC
Provider Business Mailing Address
First Line : 129 JUDSON ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-2229
Country : US
Telephone Number : 719-243-6876
Fax Number :
Provider Business Practice Location Address
First Line : 685 CITADEL DR E STE 110E
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-5358
Country : US
Telephone Number : 719-243-6876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2018
Last Update Date : 09/29/2018

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