Individual
THOMAS FRANK WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
515 LAKEWAY DR, BELLINGHAM, WA 98225-5233
(360) 676-2187
Mailing address
1712 JEFFERSON ST, BELLINGHAM, WA 98225-2701
(509) 731-1616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60229257
WA
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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