Individual
LATRINA DEVONNE WINFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCS
Contact information
Practice address
1922 S MARTIN LUTHER KING JR DR, 25, WINSTON SALEM, NC 27107-1361
(336) 577-6652
(336) 464-2071
Mailing address
PO BOX 24551, WINSTON SALEM, NC 27114-4551
(336) 577-6652
(336) 464-2071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103689
—
NC
05
—
PC1635
—
SC
Enumeration date
07/25/2007
Last updated
04/05/2017
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