Individual
MADISON HOPE WINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LAC
Contact information
Practice address
4023 STATE ST STE 65, BISMARCK, ND 58503-0638
(701) 299-3353
Mailing address
4023 STATE ST STE 65, BISMARCK, ND 58503-0638
(701) 299-3353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1942
ND
101YM0800X
Mental Health Counselor
Primary
1063-5-1-20-480
ND
Other
Enumeration date
05/17/2021
Last updated
02/13/2023
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