Provider Demographics
NPI:1689938151
Name:WRIGHT, VALERIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 GREENBROOK RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-3920
Mailing Address - Country:US
Mailing Address - Phone:908-514-5754
Mailing Address - Fax:908-791-9751
Practice Address - Street 1:168 GREENBROOK RD
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-3920
Practice Address - Country:US
Practice Address - Phone:908-514-5754
Practice Address - Fax:908-791-9751
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-29
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00788100101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0023701OtherAGENCY MEDICAID PROVIDER #
NJ1689938151Medicaid