Provider Demographics
NPI:1699336081
Name:WRIGHT, ERIN (MCJ, MA)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MCJ, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19827 N 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4441
Mailing Address - Country:US
Mailing Address - Phone:928-632-2440
Mailing Address - Fax:
Practice Address - Street 1:19827 N 3RD AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4441
Practice Address - Country:US
Practice Address - Phone:928-632-2440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-26
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy