Individual provider · Type 1 NPI

Terry L. Winbush, LDC

Addiction (Substance Use Disorder) Counselor · Jackson, TN

NPI number 1104860204 Active

Practice location

238 Summar Dr
Jackson, TN 38301-3906

Fax (731) 935-8327

Mailing address

1804 Highway 45 Bypass, Suite 604
Jackson, TN 38305-4436

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0347 (TN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104860204

Terry L. Winbush, LDC's National Provider Identifier is 1104860204, issued on Jun 16, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, TN. The record was last updated on Aug 21, 2009.