Provider Demographics
NPI:1306497649
Name:WINSETT, JOLENE (MS, LMHC, ATR)
Entity type:Individual
Prefix:
First Name:JOLENE
Middle Name:
Last Name:WINSETT
Suffix:
Gender:F
Credentials:MS, LMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 D ST
Mailing Address - Street 2:
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-2024
Mailing Address - Country:US
Mailing Address - Phone:360-388-5335
Mailing Address - Fax:
Practice Address - Street 1:1401 D ST
Practice Address - Street 2:
Practice Address - City:LYNDEN
Practice Address - State:WA
Practice Address - Zip Code:98264-2024
Practice Address - Country:US
Practice Address - Phone:360-388-5335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61322551101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health