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General NPI Number Information
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NPI Number | 1619434867
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Entity Type | Organization
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Legal Business Name | WINSTON BEHAVIORAL HEALTHCARE
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Dates
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Enumeration Date | 02/25/2019
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Last Update Date | 04/26/2019
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Provider Practice Location Address
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Address Line | 724 BIELENBERG DR
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City | WOODBURY
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State | MN
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Zip | 55125-2620
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Country | US
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Telephone | 651-274-1006
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Fax |
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Provider Business Mailing Address
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Address Line | 3282 YORK ALCOVE
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City | WOODBURY
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State | MN
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Zip | 55125-2417
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MRS. TERESA L WINSTON
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Credential | LPCC
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Telephone | 651-689-3007
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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 |
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License Number State |
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