Individual
JOY LYNN WYNKOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3509 E SHEA BLVD STE 108, PHOENIX, AZ 85028-3338
(480) 744-2176
Mailing address
19800 N 7TH ST APT 2031, PHOENIX, AZ 85024-1888
(682) 554-1774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-20682
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAC-20682
AZ BOARD OF BEHAVIORAL HEALTH
AZ
Enumeration date
01/17/2023
Last updated
08/05/2024
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