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NPI Code Detail

MEDICARE: ERIC WINER M.A. LLPC

MEDICARE:   ERIC  WINER  M.A. LLPC
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
1101YP2500XProfessional Counselor6451019450MI

General Provider Information

NPI Number : 1336711969
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC WINER M.A. LLPC
Provider Business Mailing Address
First Line : 3424 CHICAGO DR STE 205
Second Line :
City : HUDSONVILLE
State : MI
Zip : 49426-1411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3424 CHICAGO DR
Second Line :
City : HUDSONVILLE
State : MI
Zip : 49426-1408
Country : US
Telephone Number : 616-822-2540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2021
Last Update Date : 08/05/2021

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Directions to “ ERIC WINER M.A. LLPC” Practice Location

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