Provider Demographics
NPI:1215133277
Name:WRIGHT, JEANNE BIGHAM (MA, LPC, NCC,)
Entity type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:BIGHAM
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MA, LPC, NCC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:WALNUT COVE
Mailing Address - State:NC
Mailing Address - Zip Code:27052-9321
Mailing Address - Country:US
Mailing Address - Phone:336-591-7509
Mailing Address - Fax:
Practice Address - Street 1:512 W MOUNTAIN ST
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-2514
Practice Address - Country:US
Practice Address - Phone:336-996-1178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2310101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool