| Doctor Name: | MISS SIMONE A WRIGHT |
| NPI Number: | 1790036390 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 37PC00450100 |
| Business Practice Address: | 786 King George Rd 2nd Floor Fords, NJ - 088631981 |
| Business Phone Number: | 7329029154 |
| Business Fax Number: | 7329029145 |
| Mailing Address: | 786 King George Rd, 2nd Floor FORDS |
| State: | NJ |
| Postal Code: | 088631981 |
| Phone Number: | 7329029154 |
| Fax Number: | 7329029145 |
| NPI Enumeration Date: | 09/24/2012 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 37PC00450100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |