Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 1107284 | SC |
Y | 101YP2500X | Professional Counselor | 5230 | SC |
NPI | 1003244369 |
---|---|
Provider Name | Mrs. Christi J. Wright |
First Address | Charleston, SC 29418-8417 |
Second Address | Charleston, SC 29418-8417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2013 |
Last Update Date | 24/10/2013 |