Provider Demographics
NPI:1699952507
Name:WININGS, WILLIAM (MA, MFT)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:WININGS
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:WININGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA MFT
Mailing Address - Street 1:3060 VALENCIA AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-4165
Mailing Address - Country:US
Mailing Address - Phone:831-460-2550
Mailing Address - Fax:831-688-1718
Practice Address - Street 1:3060 VALENCIA AVE STE 6
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-4165
Practice Address - Country:US
Practice Address - Phone:831-460-2550
Practice Address - Fax:831-688-1718
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC15032106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist