Organization
WINONA COUNSELING CLINIC, INC.
Active
Other names
Associates in Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE L JOHNSON MS, LPCC, LPC, LADC (DIRECTOR / OWNER)
(507) 454-3900
Entity
Organization
Contact information
Practice address
111 RIVERFRONT, SUITE 210, WINONA, MN 55987-3456
(507) 454-3900
(507) 452-7459
Mailing address
111 RIVERFRONT, SUITE 210, WINONA, MN 55987-3456
(507) 454-3900
(507) 452-7459
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1028139-1-MHC
MN
251S00000X
Community/Behavioral Health Agency
2009
WI
251S00000X
Community/Behavioral Health Agency
8306881CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128661
UCARE
MN
01
—
326930
VALUE OPTIONS
MN
01
—
38266WI
BLUE CROSS BLUE SHIELD
MN
01
—
9166WI
BLUE CROSS BLUE SHIELD CD
MN
Enumeration date
01/23/2007
Last updated
04/11/2012
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