Individual provider · Type 1 NPI

Calvin Wynn

Mental Health Counselor · Lacey, WA

NPI number 1053709576 Active

Practice location

7819 48th Ave SE
Lacey, WA 98503-4609

Call (719) 209-1657 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053709576

Calvin Wynn's National Provider Identifier is 1053709576, issued on Jan 6, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lacey, WA. The record was last updated on Jan 6, 2015.