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Contact Information

RYAN C VANWINKLE, LPC
402 ELSIE ST.
VAN BUREN, MO63965
 Phone: 573-323-0411
 Fax: 573-323-0412
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for RYAN C VANWINKLE · (Male)

NPI # 1285758698
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 03/19/2007
Last updated 02/20/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2002017414
  • MO Medicaid 495869224
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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