Provider Demographics
NPI:1447963020
Name:WINTERS-THOMPSON, ALLISON NICOLE (CM)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:NICOLE
Last Name:WINTERS-THOMPSON
Suffix:
Gender:F
Credentials:CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12011 S SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037-4392
Mailing Address - Country:US
Mailing Address - Phone:918-605-9827
Mailing Address - Fax:
Practice Address - Street 1:12011 S SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037-4392
Practice Address - Country:US
Practice Address - Phone:918-605-9827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)