Individual
JACQUELINE MICHELLE WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 STATE ROUTE 59, KENT, OH 44240-7143
(330) 593-5959
Mailing address
2275 STATE ROUTE 59, KENT, OH 44240-7143
(440) 821-5081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2305189
OH
Other
Enumeration date
01/11/2022
Last updated
06/12/2023
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