Provider Demographics
NPI:1811031099
Name:WRIGHT, ROCHELLE J (LMHC, CDP-MS)
Entity Type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:J
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMHC, CDP-MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 GRANDVIEW ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1150
Mailing Address - Country:US
Mailing Address - Phone:253-851-3498
Mailing Address - Fax:
Practice Address - Street 1:3710 GRANDVIEW ST
Practice Address - Street 2:SUITE 102
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1150
Practice Address - Country:US
Practice Address - Phone:253-851-3498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00000390101YA0400X
WALH00003988101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health