Individual
SARAH MICHELLE WYNNE
Active
Individual
SARAH MICHELLE WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, RPT, NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NM
101YM0800X
Mental Health Counselor
Primary
CMH0197821
—
101YP2500X
Professional Counselor
Primary
CCMH0216131
NM
247200000X
Other Technician
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57287244
—
NM
Enumeration date
12/11/2012
Last updated
06/23/2026
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