Doctor Name: | KATRINA R WRIGHT |
NPI Number: | 1306130877 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, LPC |
License Number: | 5412 |
Business Practice Address: | 3708 Greenland Rd Johns Island, SC - 294557916 |
Business Phone Number: | 8434250897 |
Business Fax Number: | 8435568910 |
Mailing Address: | 3708 Greenland Rd, JOHNS ISLAND |
State: | SC |
Postal Code: | 294557916 |
Phone Number: | 8434250897 |
Fax Number: | 8435568910 |
NPI Enumeration Date: | 06/02/2011 |
NPI Last Update Date: | 10/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5412 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |