Most Relevant Information
Provider Data
NPI Number: | 1003291964 |
Provider Name: | CHANIECE WINFIELD LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 0701006030 |
Most Important Dates
Enumeration Date: | 07/21/2015 |
Last Updated: | 07/21/2015 |
Provider Practice Location
135 S SARATOGA ST
SUFFOLK
VA
234345322
Practice Location Phone/Fax
Phone: | 7578420542 |
Fax: |
Provider Mailing Location
106 EAGLETON CIR
MOYOCK
NC
279589046
Provider Mailing Phone/Fax
Phone: | 7578420542 |
Fax: |