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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ASA WYNN, CPS-MH/AD, WHWC, FPM

Active

ASA WYNN, CPS-MH/AD, WHWC, FPM is a Peer Specialist healthcare provider located in DALLAS, Georgia. NPI 1932980976 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · DALLAS, GA

Registration Details

NPI Number
1932980976
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2023 (2.8826610680476 yrs)
Last Updated
Oct 5, 2023

Practice Information

Address
30 SIOUX PATH
DALLAS, GA, 301321620
Browse GA providers · Browse ZIP 30132
Phone
7706762676
Primary Specialty
Peer Specialist
175T00000X
Additional Specialty
Driver
Additional Specialty
Community Health Worker
Additional Specialty
Day Training/Habilitation
Additional Specialty
Peer Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.