Provider Demographics
NPI:1154291797
Name:STENE WINKLER, ERICA (EDD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:STENE WINKLER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5803 AUTUMN DR S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-7654
Mailing Address - Country:US
Mailing Address - Phone:763-242-2678
Mailing Address - Fax:
Practice Address - Street 1:5803 AUTUMN DR S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-7654
Practice Address - Country:US
Practice Address - Phone:763-242-2678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3026101YP2500X
ND1411-12-15-24A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional