Love-Winter, Willie Jean

Love-Winter, Willie Jean is an sole proprietor health care provider with primary practice located at 6136 Kalen Ct , Woodbury MN 55129-9577. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Love-Winter, Willie Jean can be contacted via phone (651) 459-0443.

Contact Information

Primary practice address
6136 Kalen Ct Woodbury MN 55129-9577
Phone: (651) 459-0443
Fax: (651) 459-4510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LICSW #5348 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT # 0602 Minnesota

Profile Details

NPI number 1023131752
LBN Legal business name Love-Winter, Willie Jean
Credentials MSSW, LICSW, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023131752 NPPES
Minnesota Other 6G134WI BLUE CROSS BLUE SHIELD
Minnesota Other 281333 BLUE CROSS BLUE SHIELD

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