Provider Demographics
NPI:1124534474
Name:WINTER, DEBRA (MSW, LMHC, LSWAIC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:WINTER
Suffix:
Gender:F
Credentials:MSW, LMHC, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5915 S HOLLY RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224-9469
Mailing Address - Country:US
Mailing Address - Phone:253-307-0650
Mailing Address - Fax:
Practice Address - Street 1:5915 S HOLLY RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99224-9469
Practice Address - Country:US
Practice Address - Phone:253-307-0650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-22
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA607896971041C0700X
WALH61018196101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical