Individual
DR. CYNTHIA WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LMHC, CASAC
Contact information
Practice address
19 OLIVIA ST APT 9, PORT CHESTER, NY 10573-4878
(914) 479-9501
Mailing address
19 OLIVIA ST, SUITE 9, PORT CHESTER, NY 10573-4878
(914) 479-9501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11400
NY
101YM0800X
Mental Health Counselor
Primary
001981-1
NY
Other
Enumeration date
01/02/2007
Last updated
04/13/2022
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