Provider Demographics
NPI:1952498404
Name:WINGER, JEANNE
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:WINGER
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 1:1125 ELLEN KAY DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6286
Mailing Address - Country:US
Mailing Address - Phone:740-387-3087
Mailing Address - Fax:740-382-5034
Practice Address - Street 1:1125 ELLEN KAY DR
Practice Address - Street 2:SUITE B
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6286
Practice Address - Country:US
Practice Address - Phone:740-387-3087
Practice Address - Fax:740-382-5034
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor