Individual provider · Type 1 NPI

Sally Wynn, SUDCC IV-CS

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1336406024 Active

Practice location

2100 Capitol Ave
Sacramento, CA 95816-5721

Call (916) 317-4464 Map

Mailing address

3882 Stillman Park Cir Spc 41
Sacramento, CA 95824-3666

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XW0702211501 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X5940 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336406024

Sally Wynn, SUDCC IV-CS's National Provider Identifier is 1336406024, issued on Apr 18, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Nov 8, 2021.