Individual
DOUGLAS CHARLES WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LASAC
Contact information
Practice address
214 N ARIZONA AVE, PRESCOTT, AZ 86301-3104
(928) 776-8251
Mailing address
214 N ARIZONA AVE, PRESCOTT, AZ 86301-3104
(928) 776-8251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-15193
AZ
Other
Enumeration date
05/16/2017
Last updated
07/21/2022
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