Individual
MRS. GEORGIA DEE WINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LCPC
Contact information
Practice address
2921 GREENBRIAR DR, SPRINGFIELD, IL 62704-6421
(217) 546-3118
Mailing address
2824 CENTENNIAL DR, SPRINGFIELD, IL 62711-6386
(217) 787-8134
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1800002805
IL
101YP2500X
Professional Counselor
Primary
1800002805
IL
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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