Provider Demographics
NPI:1215384417
Name:WRIGHT, ASHLEY R (LMHCA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:R
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11416 SLATER AVE NE
Mailing Address - Street 2:SUITE 203D
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-8827
Mailing Address - Country:US
Mailing Address - Phone:206-890-3017
Mailing Address - Fax:
Practice Address - Street 1:11416 SLATER AVE NE
Practice Address - Street 2:SUITE 203D
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-8827
Practice Address - Country:US
Practice Address - Phone:206-890-3017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60654485101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health