MEDICARE: MR. PATRICK WINTERS MS, LPC, LCDC, MAC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	12821	TX
2	101YP2500X	Professional Counselor	75831	TX

General Provider Information

NPI Number	:	1336629849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PATRICK WINTERS MS, LPC, LCDC, MAC

Provider Business Mailing Address
First Line	:	8619 MORLEY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77061-3334
Country	:	US
Telephone Number	:	832-666-9585
Fax Number	:

Provider Business Practice Location Address
First Line	:	8619 MORLEY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77061-3334
Country	:	US
Telephone Number	:	832-666-9585
Fax Number	:

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

Provider Enumeration Date	:	08/15/2018
Last Update Date	:	08/15/2018

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Directions to “ MR. PATRICK WINTERS MS, LPC, LCDC, MAC” Practice Location

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