Provider Demographics
NPI:1639400674
Name:WRIGHT, KAREN WINSTON (MA, LPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:WINSTON
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 GRAND AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2583
Mailing Address - Country:US
Mailing Address - Phone:651-399-1713
Mailing Address - Fax:
Practice Address - Street 1:333 GRAND AVE STE 206
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2583
Practice Address - Country:US
Practice Address - Phone:651-399-1713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLPC00753101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor