Provider Demographics
NPI:1427633270
Name:WINTER, DUANE DARRY (LPCC, LADC, NCC)
Entity type:Individual
Prefix:MR
First Name:DUANE
Middle Name:DARRY
Last Name:WINTER
Suffix:
Gender:M
Credentials:LPCC, LADC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 N GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-1505
Mailing Address - Country:US
Mailing Address - Phone:507-276-8630
Mailing Address - Fax:
Practice Address - Street 1:1114 N GARDEN ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-1505
Practice Address - Country:US
Practice Address - Phone:507-276-8630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-12
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN303892101YA0400X
MNCC02158101YM0800X
MN2158101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health