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NPI 1306236039

NPI 1306236039 : WINIG COUNSELLING, LLC : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1306236039
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    Entity Type          |    Organization 
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    Legal Business Name  |    WINIG COUNSELLING, LLC 
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Dates
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    Enumeration Date     |    02/03/2015
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    Last Update Date     |    02/03/2015
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Provider Practice Location Address
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    Address Line         |    8420 DELMAR BLVD SUITE 301
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63124-2170
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    Country              |    US
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    Telephone            |    314-596-2599
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    Fax                  |    314-872-8871
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Provider Business Mailing Address
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    Address Line         |    762 STUMP CT 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63131-2140
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    Country              |    US
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    Telephone            |    314-596-2599
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    Fax                  |    314-872-8871
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Authorized Official
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    Title or Position    |    OWNER/THERAPIST
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    Name                 |    MR. JAY H WINIG 
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    Credential           |    LCSW
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    Telephone            |    314-596-2599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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