Individual
MICHELLE LYNN WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(320) 639-2025
Mailing address
105 VELKOMENT ST, STAPLES, MN 56479-3311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
307002
MN
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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