Provider Demographics
NPI:1235850223
Name:WINOGRAD, CLAIRE (LPC ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:WINOGRAD
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:IRA
Other - Middle Name:
Other - Last Name:WINOGRAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4675 W HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-4684
Mailing Address - Country:US
Mailing Address - Phone:541-231-2287
Mailing Address - Fax:
Practice Address - Street 1:4675 W HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-4684
Practice Address - Country:US
Practice Address - Phone:541-231-2287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR7536101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor