Individual
ALVIN LLOYD WINEGAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
310 N 2ND E, SUITE 128, REXBURG, ID 83440-1600
(208) 709-6257
(208) 356-5675
Mailing address
310 N 2ND E, SUITE 128, REXBURG, ID 83440-1600
(208) 709-6257
(208) 356-5675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-31995
ID
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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