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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508292459 | NPPES |
| New Jersey | MEDICAID | 0295655 |
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