DR. SALLY WYNN SUDCC IV-CS
NPI 1336406024
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA
About Dr. Sally Wynn Sudcc Iv-cs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SALLY WYNN SUDCC IV-CS (NPI 1336406024) is an individual addiction (substance use disorder) provider in Sacramento, California, licensed in California (5940) and active in the NPI registry since April 2012.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
SACRAMENTO, CA 95816
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 Sally Wynn's NPI number?
The NPI number for Sally Wynn is 1336406024. It was assigned to this individual provider in the NPPES registry on April 18, 2012.
Where is Sally Wynn located?
Sally Wynn practices at 2100 Capitol Ave, Sacramento, CA 95816. The listed phone number is (916) 317-4464.
What is Sally Wynn's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Sally Wynn was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Sally Wynn, SUDCC IV-CS · NPI 1336406024
Addiction (Substance Use Disorder) provider in Sacramento, California. Individual provider, active in the CMS NPPES registry since April 18, 2012.
## Identity
- **NPI:** 1336406024 (Entity type: Individual)
- **Enumerated:** April 18, 2012
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 5940 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2100 CAPITOL AVE, Sacramento, CA 95816-5721
- **Phone:** (916) 317-4464
## Record status
- **NPPES last updated:** November 8, 2021
- **Other identifiers:** Other 5940 (CA); Other W0702211501 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1336406024) · Data from the CMS NPPES public registry.