Individual provider · Type 1 NPI

Madison Blake Winkler, LAC

Professional Counselor · New Providence, NJ

NPI number 1750113668 Active

Practice location

121 Chanlon Rd Ste 310
New Providence, NJ 07974-1543

Mailing address

2141 Route 38 Apt 1113W
Cherry Hill, NJ 08002-4217

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37AC00810600 (NJ)

Professional Counselor: Definition to come...

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About NPI 1750113668

Madison Blake Winkler, LAC's National Provider Identifier is 1750113668, issued on Aug 19, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New Providence, NJ. The record was last updated on Aug 19, 2024.