Individual
CAROLYN N WYNJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1415 LUMSDEN RD, PORT ORCHARD, WA 98367-9179
(360) 876-9433
Mailing address
7682 SHILOHWOOD PL NW, BREMERTON, WA 98311-8947
(360) 551-5728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60960853
WA
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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