MEDICARE: RAIJA S WINTER

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1013765965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAIJA S WINTER

Provider Business Mailing Address
First Line	:	1220 92ND AVE W
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55808-1534
Country	:	US
Telephone Number	:	218-591-3707
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 CHANDLER AVE
Second Line	:
City	:	EVELETH
State	:	MN
Zip	:	55734-1675
Country	:	US
Telephone Number	:	218-780-9499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2024
Last Update Date	:	08/13/2025

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Directions to “ RAIJA S WINTER ” Practice Location

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