Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sally Wynn, SUDCCIV-CS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336406024

Dr. Sally Wynn, SUDCCIV-CS is an Addiction (Substance Use Disorder) Counselor in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

2100 Capitol Ave
Sacramento, CA 95816-5721
Phone: (916) 317-4464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 5940 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence W0702211501 (CA)

Record details

NPI number1336406024
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDCCIV-CS
Sole proprietorYes
NPI enumeratedApril 18, 2012
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021

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