Individual
MS. WINIFRED JEANETTE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
2812 COTTAGE GROVE AVE, DES MOINES, IA 50311-4010
(515) 783-0553
Mailing address
2812 COTTAGE GROVE AVE, DES MOINES, IA 50311-4010
(515) 783-0553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00743
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545153000
—
IA
Enumeration date
05/07/2008
Last updated
05/07/2008
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