Wright, Jacqueline F

Wright, Jacqueline F is an sole proprietor health care provider with primary practice located at 179 Palisade Ave , Jersey City NJ 07306-1103. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wright, Jacqueline F can be contacted via phone (201) 795-8375.

Contact Information

Primary practice address
179 Palisade Ave Jersey City NJ 07306-1103
Phone: (201) 795-8375
Fax: (201) 795-8381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 44SW00424200 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00182700 New Jersey

Profile Details

NPI number 1508292459
LBN Legal business name Wright, Jacqueline F
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2013
Last updated Sep 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508292459 NPPES
New Jersey MEDICAID 0295655

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