Provider Demographics
NPI:1245903343
Name:WINTERLING, BREANNE
Entity type:Individual
Prefix:
First Name:BREANNE
Middle Name:
Last Name:WINTERLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BREANNE
Other - Middle Name:
Other - Last Name:JESSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3762 BEECH TREE ST
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80549-2162
Mailing Address - Country:US
Mailing Address - Phone:970-818-8679
Mailing Address - Fax:
Practice Address - Street 1:3762 BEECH TREE ST
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549-2162
Practice Address - Country:US
Practice Address - Phone:303-242-7993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist