Provider Demographics
NPI:1326266479
Name:WRIGHT, MARKCO S (RRW)
Entity Type:Individual
Prefix:
First Name:MARKCO
Middle Name:S
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:RRW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 UNION AVE UNIT 20
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93305-2432
Mailing Address - Country:US
Mailing Address - Phone:661-565-3340
Mailing Address - Fax:
Practice Address - Street 1:3901 UNION AVE UNIT 20
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-2432
Practice Address - Country:US
Practice Address - Phone:661-565-3340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)