Provider Demographics
NPI:1639997687
Name:WRIGHT, BERNARD MARCUS JR (LPC ASSOCIATE, MA)
Entity type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:MARCUS
Last Name:WRIGHT
Suffix:JR
Gender:M
Credentials:LPC ASSOCIATE, MA
Other - Prefix:
Other - First Name:BERNIE
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC ASSOCIATE, MA
Mailing Address - Street 1:1817 W PIONEER DR # 1049
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-6843
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6500 GREENVILLE AVE STE 430
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-1014
Practice Address - Country:US
Practice Address - Phone:972-399-9780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91882101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor