Individual
JONATHAN ONEAL WINSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
421 SILVER HL, JACKSON, MS 39208-5082
(601) 624-3246
Mailing address
421 SILVER HL, PEARL, MS 39208-5082
(601) 624-3246
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7699
MS
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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