Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003313149 |
---|---|
Provider Name | Nathen Wright JR. |
First Address | Tacoma, WA 98405-2047 |
Second Address | Tacoma, WA 98405-2047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2018 |
Last Update Date | 06/04/2018 |