Winston Silvester Johnson Prescott
Counselor in Del City, OK. Individual provider (NPI-1).
NPI number1669820049
StatusActive
Last updated in NPPESJun 15, 2016
Details
- NPI
- 1669820049
- Entity type
- Individual (NPI-1)
- Name
- Winston Silvester Johnson Prescott
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2016
- Last updated
- Jun 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | OK | Yes |
Practice location
3412 Hillside DrDel City, OK 73115-1742
Phone 229-292-3932
Mailing address
3412 Hillside DrDel City, OK 73115-1742
Phone 229-292-3932
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