person
Ms. Winston Bourne, LPC
Professional Counselor in Detroit, Michigan
NPI 1639277015

Winston Bourne is a Professional Counselor based in Detroit, MI and is specialized in Professional. Winston Bourne practices in Detroit, MI and has the professional credentials of LPC. The NPI Number for Winston Bourne is 1639277015 and holds a License No. 6401008093 (Michigan).

The current practice location address for Winston Bourne is 11457 Shoemaker St, Detroit, MI and can be reached out via phone at 313-961-3700 and via fax at 313-961-3769.

Location: 11457 Shoemaker St, Detroit, MI, 48213-3418
person
Provider Profile Details
NPI Number
1639277015
Provider Name
Winston Bourne
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
11457 Shoemaker St, Detroit, MI, 48213-3418
Phone Number
313-961-3700
Fax Number
313-961-3769
Provider Enumeration Date
09/20/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6401008093 01 MI STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
11457 Shoemaker St
City
State
Zip
48213-3418
Phone Number
313-961-3700
Fax Number
313-961-3769
person
Provider Business Mailing Address Details
Address
11457 Shoemaker St
City
State
Zip
48213-3418
Phone Number
313-961-3700
Fax Number
313-961-3769
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401008093 (Michigan)
Definition
Definition to come...
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