Individual
MRS. MADISON BLAKE WINKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
121 CHANLON RD STE 310, NEW PROVIDENCE, NJ 07974-1543
(973) 299-9954
Mailing address
2141 ROUTE 38 APT 1113W, CHERRY HILL, NJ 08002-4217
(972) 834-6301
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00810600
NJ
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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