Individual
JASON WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 NW 78TH TER, CORAL SPRINGS, FL 33065-3028
(480) 577-2319
Mailing address
3850 NW 78TH TER, CORAL SPRINGS, FL 33065-3028
(480) 577-2319
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CMHP.0100115
FL
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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