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Individual

DIANNE WINCHESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
728 DREAMLAND DR, MURRELLS INLET, SC 29576-7423
(828) 335-6601
Mailing address
728 DREAMLAND DR, MURRELLS INLET, SC 29576-7423
(828) 335-6601

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
5648
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
5648
SC
101YM0800X
Mental Health Counselor
Primary
5648
SC
101YP2500X
Professional Counselor
5648
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5648
LPC
SC
Enumeration date
03/03/2014
Last updated
03/03/2014
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