Individual provider · Type 1 NPI
Terry Lynne Wynne, LPC
Professional Counselor · Tucker, GA
NPI number
1790828085
Active
Practice location
3863 Cedar Circle
Tucker, GA 30084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1802 (GA) |
Professional Counselor: Definition to come...
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About NPI 1790828085
Terry Lynne Wynne, LPC's National Provider Identifier is 1790828085, issued on Feb 15, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tucker, GA. The record was last updated on Jul 8, 2007.