Individual
MICHELE VANWINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 DONALD AVE, INDEPENDENCE, KS 67301-2001
(620) 331-3131
Mailing address
PO BOX 688, INDEPENDENCE, KS 67301-0688
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC 1029
KS
104100000X
Social Worker
Primary
4983
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200436620A
—
KS
Enumeration date
09/20/2006
Last updated
12/01/2014
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