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Individual

JANICE IVY WINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MEC, LCPC

Contact information

Practice address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
(217) 277-2253
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180013197
IL
101YP2500X
Professional Counselor
Primary
180013197
IL
101YP2500X
Professional Counselor
2011036054
MO

Other

Enumeration date
01/18/2012
Last updated
11/13/2023
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