| Doctor Name: | KELLI L WRIGHT |
| NPI Number: | 1649261538 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCSW-27372 |
| Business Practice Address: | 6488 Chinook St Bonners Ferry, ID - 838057515 |
| Business Phone Number: | 2082678710 |
| Business Fax Number: | 2082678719 |
| Mailing Address: | 6488 Chinook St, BONNERS FERRY |
| State: | ID |
| Postal Code: | 838057515 |
| Phone Number: | 2082678710 |
| Fax Number: | 2082678719 |
| NPI Enumeration Date: | 10/31/2005 |
| NPI Last Update Date: | 01/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCSW-27372 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |