Individual
SARAH MICHELLE WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, NCC
Contact information
Practice address
3321 CANDELARIA RD NE STE 113, ALBUQUERQUE, NM 87107-1969
(505) 980-5932
Mailing address
501 49TH ST NW, ALBUQUERQUE, NM 87105-1621
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NM
101YM0800X
Mental Health Counselor
Primary
CMH0197821
—
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
04/27/2023
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