Individual
WILLIE JEAN LOVE-WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, LICSW, LMFT
Contact information
Practice address
6136 KALEN CT, WOODBURY, MN 55129-9577
(651) 459-0443
(651) 459-4510
Mailing address
6136 KALEN CT, WOODBURY, MN 55129-9577
(651) 459-0443
(651) 459-4510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LICSW #5348
MN
106H00000X
Marriage & Family Therapist
Primary
LMFT # 0602
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
281333
VALUE OPTIONS
MN
01
—
6G134WI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
04/09/2007
Last updated
09/11/2025
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