Provider Demographics
NPI:1124154380
Name:WRIGHT, DEBORAH KATHLEEN (DRUG & ALCOHOL CERTI)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:KATHLEEN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:DRUG & ALCOHOL CERTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 S WESTMORELAND AVE
Mailing Address - Street 2:#322
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-1560
Mailing Address - Country:US
Mailing Address - Phone:213-840-7813
Mailing Address - Fax:
Practice Address - Street 1:11041 VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-2516
Practice Address - Country:US
Practice Address - Phone:626-442-4177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)