Provider Demographics
NPI:1437433752
Name:WINSTON, SHERAE N
Entity Type:Individual
Prefix:MS
First Name:SHERAE
Middle Name:N
Last Name:WINSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 KINGBIRD RD
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-1664
Mailing Address - Country:US
Mailing Address - Phone:781-414-1031
Mailing Address - Fax:
Practice Address - Street 1:5 KINGBIRD RD
Practice Address - Street 2:
Practice Address - City:DORCHESTER CENTER
Practice Address - State:MA
Practice Address - Zip Code:02124-1664
Practice Address - Country:US
Practice Address - Phone:781-414-1031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor