NPI 1376112912

Lakesha Wynn, CRCNCC

Practitioner Rehabilitation Counselor Lawrenceville, GA

Practice location

Address: 175 Gwinnett Dr, Lawrenceville, GA 30046-8444
Phone: (678) 209-2394
Mailing address: 3599 Oakvale Falls CT, Decatur, GA 30034-6930

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 477236 (GA)

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Registry record

NPI: 1376112912
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2021
Record last updated: 18 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.