Individual
INGRID WINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 CASON AVE, BASTROP, LA 71220-5005
(318) 974-5025
Mailing address
123 CASON AVE, BASTROP, LA 71220-5005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9451
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
03/23/2023
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