Individual
JOLEEN WININGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 CLEAR VUE LN, SPRINGFIELD, OR 97477-1373
(541) 505-8558
(541) 735-3946
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
PROFESSIONALLICENSE
—
Other
Enumeration date
01/30/2019
Last updated
03/09/2022
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