Provider Demographics
NPI:1134273634
Name:WRIGHT, CHRISTIE M (MS)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:M
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 NW TAHOE LN
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-7954
Mailing Address - Country:US
Mailing Address - Phone:360-698-4860
Mailing Address - Fax:
Practice Address - Street 1:1191 NW TAHOE LN
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-7954
Practice Address - Country:US
Practice Address - Phone:360-698-4860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008144101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health