Provider Demographics
NPI:1376778266
Name:WRIGHT, KORIKA NICHOLE
Entity Type:Individual
Prefix:
First Name:KORIKA
Middle Name:NICHOLE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 EDDY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-2756
Mailing Address - Country:US
Mailing Address - Phone:415-345-0980
Mailing Address - Fax:415-345-0209
Practice Address - Street 1:238 EDDY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-2756
Practice Address - Country:US
Practice Address - Phone:415-345-0980
Practice Address - Fax:415-345-0209
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health