Individual provider · Type 1 NPI
Winston Bourne, LPC
Professional Counselor · Detroit, MI
NPI number
1639277015
Active
Practice location
11457 Shoemaker St
Detroit, MI 48213-3418
Fax (313) 961-3769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401008093 (MI) |
Professional Counselor: Definition to come...
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About NPI 1639277015
Winston Bourne, LPC's National Provider Identifier is 1639277015, issued on Sep 20, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on Aug 26, 2024.