Wright, Jeffrey D

Wright, Jeffrey D is an sole proprietor health care provider with primary practice located at 112 12Th Ave Rd , Nampa ID 83686-5051. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wright, Jeffrey D can be contacted via phone (208) 465-5433.

Contact Information

Primary practice address
112 12Th Ave Rd Nampa ID 83686-5051
Phone: (208) 465-5433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-3506 Idaho

Profile Details

NPI number 1043370141
LBN Legal business name Wright, Jeffrey D
Credentials M.A., NCC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1043370141 NPPES
Idaho Other LPC-3506 IDAHO LPC LICENSURE NBR
Idaho Other 000010153421 IDAHO LPC LICENSURE NBR
Idaho Other X6881 IDAHO LPC LICENSURE NBR

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