KATHERINE ELAINE WYNN

PINEVILLE, LA
NPI1992042816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  CIT 3186)
Enumeration Date2013-01-11
Last Update Date2013-01-11
Business Address
-- KATHERINE ELAINE WYNN CIT 3186
242 W SHAMROCK AVE UNIT 1
PINEVILLE, LA 71360-6439
Phone number: 318-484-6375
Mailing Address
-- KATHERINE ELAINE WYNN CIT 3186
242 W SHAMROCK AVE UNIT 1
PINEVILLE, LA 71360-6439
Phone number: 318-484-6375