Provider Demographics
NPI:1356445076
Name:WINSLOW, JEAN A (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:A
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 WARREN ST
Mailing Address - Street 2:#17
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-2284
Mailing Address - Country:US
Mailing Address - Phone:978-455-2366
Mailing Address - Fax:
Practice Address - Street 1:201 CHELMSFORD STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824
Practice Address - Country:US
Practice Address - Phone:978-256-1467
Practice Address - Fax:978-256-7465
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA333101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM0247OtherBC/BS
MA1001898OtherCIGNA
MA42682OtherMAGELLAN
MA111038OtherBHN
MA461600OtherVALUE OPTIONS
MA614071OtherTUFTS