Organization
DWANE WYNNE LPC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD DWANE WYNNE LCMHCS (PRESIDENT)
(919) 618-7120
Entity
Organization
Contact information
Practice address
356 GROVERS KNOB, BLOWING ROCK, NC 28605-9012
(919) 618-7120
Mailing address
356 GROVERS KNOB, BLOWING ROCK, NC 28605-9012
(919) 618-7120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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