Individual
STEPHVANIE WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PHD, IOP
Contact information
Practice address
15331 W BELL RD STE 212, SURPRISE, AZ 85374-4104
(623) 439-5770
(623) 249-3350
Mailing address
15331 W BELL RD STE 212, SURPRISE, AZ 85374-4104
(623) 439-5770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18488
AZ
101YP2500X
Professional Counselor
6401007672
MI
Other
Enumeration date
11/01/2013
Last updated
05/16/2024
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