Individual
MR. CLINTON VAN WINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
515 BAYOU ST, VINCENNES, IN 47591-1034
(812) 882-5220
Mailing address
1160 E SAINT CLAIR ST, VINCENNES, IN 47591-4853
(812) 885-3106
(812) 885-8499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362312495014
—
IL
Enumeration date
05/21/2014
Last updated
05/16/2020
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