Provider Demographics
NPI:1437659737
Name:WINFIELD, MAURICE DAVID (CDCA)
Entity Type:Individual
Prefix:
First Name:MAURICE
Middle Name:DAVID
Last Name:WINFIELD
Suffix:
Gender:M
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-3516
Mailing Address - Country:US
Mailing Address - Phone:740-851-6055
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 157
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-0157
Practice Address - Country:US
Practice Address - Phone:740-775-0343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH165644101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)