Individual
JASON WILLIAM WINCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16645 15 MILE RD, CLINTON TWP, MI 48035-2206
(586) 213-5505
Mailing address
16645 15 MILE RD, CLINTON TWP, MI 48035-2206
(586) 213-5505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022045
MI
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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