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Ingrid Winston

Case Manager/Care Coordinator in Bastrop, LA. Individual provider (NPI-1).

NPI number1689397341
StatusActive
Last updated in NPPESMar 23, 2023

Details

NPI
1689397341
Entity type
Individual (NPI-1)
Name
Ingrid Winston
Sex
Female
Sole proprietor
No
Enumeration date
Sep 19, 2022
Certification date
Mar 23, 2023
Last updated
Mar 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
101YM0800X Counselor, Mental Health9451LA

Practice location

123 Cason Ave
Bastrop, LA 71220-5005

Phone 318-974-5025

Mailing address

123 Cason Ave
Bastrop, LA 71220-5005

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