Individual
MICHELLE MARIE WINEMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1160 LAPORTE AVE, FORT COLLINS, CO 80521-2422
(507) 244-0222
(970) 821-8466
Mailing address
1160 LAPORTE AVE, FORT COLLINS, CO 80521-2422
(507) 269-9391
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2558
MN
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2558
MINNESOTA BOARD OF MARRIAGE AND FAMILY THERAPY LICENSE
MN
01
—
MFT.0001565
COLORADO DEPT OF REGULATORY AGENCIES - MFT LICENSE
CO
Enumeration date
05/13/2011
Last updated
10/29/2019
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