Winston Bourne, LPC

NPI 1639277015 · on the registry since 2006 · sole proprietor

Practice

Address: 11457 Shoemaker St
Detroit, MI 48213
Phone: (313) 961-3700
Fax: (313) 961-3769
Organisation at this address: Gateway Detroit
Detroit East, Inc
Clinical Perfection
Satyamurthy Kotamraju Md Pc
Gateway Detroit East Community
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan