Doctor Name: | MR. DUSTIN ARLIE WRIGHT |
NPI Number: | 1053653030 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.S., L.P.C. |
License Number: | 0701005384 |
Business Practice Address: | 85 Sangers Ln Staunton, VA - 244016712 |
Business Phone Number: | 5408850866 |
Business Fax Number: | 5408873273 |
Mailing Address: | 85 Sangers Ln, STAUNTON |
State: | VA |
Postal Code: | 244016712 |
Phone Number: | 5408850866 |
Fax Number: | 5408873273 |
NPI Enumeration Date: | 03/18/2013 |
NPI Last Update Date: | 03/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701005384 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |