Individual
KIANNA RAYSHELLE WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
159 BRIGHAM DR, RICHMOND HILL, GA 31324-5598
(229) 860-1889
Mailing address
159 BRIGHAM DR, RICHMOND HILL, GA 31324-5598
(229) 860-1889
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009759
GA
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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