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Individual

DR. WILLIE WINSTON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
393 DUNLAP ST N STE 825, SAINT PAUL, MN 55104-4343
(651) 587-6423
(651) 209-3417
Mailing address
393 DUNLAP STREET NORTH, SUITE 825, ST. PAUL, MN 55104
(651) 587-6423
(651) 209-3417

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00654
MN

Other

Enumeration date
10/24/2013
Last updated
07/21/2022
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