Provider Demographics
NPI:1609575232
Name:WRIGHT, JOLENE WRIGHT (LMHC)
Entity Type:Individual
Prefix:
First Name:JOLENE
Middle Name:WRIGHT
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 NE 134TH ST STE 111
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2718
Mailing Address - Country:US
Mailing Address - Phone:360-433-6442
Mailing Address - Fax:360-326-7224
Practice Address - Street 1:1319 NE 134TH ST STE 111
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2718
Practice Address - Country:US
Practice Address - Phone:360-433-9664
Practice Address - Fax:360-326-7224
Is Sole Proprietor?:No
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMHC.LH.61412825101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health