Individual
JADE WINNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
4110 N WATER TOWER PL, MOUNT VERNON, IL 62864-6295
(773) 415-5456
Mailing address
222 W PORTER ST, SALEM, IL 62881-1259
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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