CALVIN WYNN
NPI 1053709576
Counselor - Mental Health in Lacey, WA
About Calvin Wynn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALVIN WYNN (NPI 1053709576) is an individual mental health provider in Lacey, Washington and active in the NPI registry since January 2015.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Calvin Wynn's NPI number?
The NPI number for Calvin Wynn is 1053709576. It was assigned to this individual provider in the NPPES registry on January 6, 2015.
Where is Calvin Wynn located?
Calvin Wynn practices at 7819 48th Ave SE, Lacey, WA 98503. The listed phone number is (719) 209-1657.
What is Calvin Wynn's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Calvin Wynn was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Calvin Wynn · NPI 1053709576
Mental Health provider in Lacey, Washington. Individual provider, active in the CMS NPPES registry since January 6, 2015.
## Identity
- **NPI:** 1053709576 (Entity type: Individual)
- **Enumerated:** January 6, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7819 48TH AVE SE, Lacey, WA 98503-4609
- **Phone:** (719) 209-1657
## Record status
- **NPPES last updated:** January 6, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1053709576) · Data from the CMS NPPES public registry.