Provider Demographics
NPI:1114186210
Name:WRIGHT, CLAIRE ADALYN (LMFT)
Entity type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:ADALYN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:CLAIRE
Other - Middle Name:ADALYN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4734
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95150-4734
Mailing Address - Country:US
Mailing Address - Phone:408-998-7098
Mailing Address - Fax:
Practice Address - Street 1:1210 S BASCOM AVE
Practice Address - Street 2:SUITE 114
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-3543
Practice Address - Country:US
Practice Address - Phone:408-998-7098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44491106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist