Basic Information
| Provider Information | |||||||||
| NPI: | 1891904041 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WINKLER | ||||||||
| FirstName: | JOAN | ||||||||
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| Credential: | MA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6151 LAKESIDE DRIVE | ||||||||
| Address2: | 2001 | ||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895118545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753294284 | ||||||||
| FaxNumber: | 7753292550 | ||||||||
| Practice Location | |||||||||
| Address1: | 6151 LAKESIDE DRIVE | ||||||||
| Address2: | 2001 | ||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895118545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753294284 | ||||||||
| FaxNumber: | 7753292550 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2007 | ||||||||
| LastUpdateDate: | 09/19/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 0524 | NV | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.