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NPI Code Detail

MEDICARE: KARA WINSHIP

MEDICARE: KARA WINSHIP
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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker30972CA

General Provider Information

NPI Number : 1558664045
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA WINSHIP
Provider Business Mailing Address
First Line : 1600 N CUYAMACA ST
Second Line :
City : EL CAJON
State : CA
Zip : 92020-1109
Country : US
Telephone Number : 619-972-6109
Fax Number :
Provider Business Practice Location Address
First Line : 1600 N CUYAMACA ST
Second Line :
City : EL CAJON
State : CA
Zip : 92020-1109
Country : US
Telephone Number : 619-972-6109
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2010
Last Update Date : 08/20/2014

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Directions to “ KARA WINSHIP ” Practice Location

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