Individual
NELZARIE I WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 COMMONS WAY, GREENVILLE, SC 29611-3850
(864) 908-5292
Mailing address
151 COMMONS WAY, GREENVILLE, SC 29611-3850
(864) 908-5292
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TF0000X
Family Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/28/2019
Last updated
08/19/2019
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