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General NPI Number Information
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NPI Number | 1013353515
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Entity Type | Individual
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Provider Name | MICHAEL WILLIAM WINAKOR LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/12/2013
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 117 E CENTER ST
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City | MANCHESTER
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State | CT
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Zip | 06040-5246
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Country | US
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Telephone | 860-578-4808
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Fax | 866-355-1052
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Provider Business Mailing Address
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Address Line | 117 E CENTER ST
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City | MANCHESTER
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State | CT
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Zip | 06040-5246
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Country | US
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Telephone | 860-578-4808
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Fax | 866-355-1052
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8989
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License Number State | CT
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