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Salita Wynn
Professional Counselor in Byron, Georgia
NPI 1407319411

Salita Wynn is a Professional Counselor based in Byron, GA and is specialized in Professional. Salita Wynn practices in Byron, GA. The NPI Number for Salita Wynn is 1407319411 and holds a License No. (Georgia).

The current practice location address for Salita Wynn is 100 Meadows Walk Dr, Byron, GA and can be reached out via phone at 478-319-2818.

Location: 100 Meadows Walk Dr, Byron, GA, 31008-5152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407319411
Provider Name
Salita Wynn
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Meadows Walk Dr, Byron, GA, 31008-5152
Phone Number
478-319-2818
Fax Number
Provider Enumeration Date
04/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000000 01 NONE
institution
Provider Business Practice Location Address Details
Address
100 Meadows Walk Dr
City
Byron
State
Georgia
Zip
31008-5152
Phone Number
478-319-2818
Fax Number
person
Provider Business Mailing Address Details
Address
100 Meadows Walk Dr
City
Byron
State
Georgia
Zip
31008-5152
Phone Number
478-319-2818
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC013434 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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