Provider Demographics
NPI:1063650414
Name:WRIGHT, RAMONA SUE (LPC)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:SUE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:11737 ONONDAGA RD
Mailing Address - City:ONONDAGA
Mailing Address - State:MI
Mailing Address - Zip Code:49264-0024
Mailing Address - Country:US
Mailing Address - Phone:517-262-0571
Mailing Address - Fax:888-904-2399
Practice Address - Street 1:209 E WASHINGTON AVE
Practice Address - Street 2:SUITE 219 BOX 6
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-2393
Practice Address - Country:US
Practice Address - Phone:517-262-0571
Practice Address - Fax:866-904-2399
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007429101YP2500X
MI6802083345104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker