Provider Demographics
NPI:1750528949
Name:WRIGHT, CHRISTOPHER PORTER (MA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:PORTER
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 CHAIN BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-1811
Mailing Address - Country:US
Mailing Address - Phone:703-560-1520
Mailing Address - Fax:
Practice Address - Street 1:607 CHAIN BRIDGE RD
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-1811
Practice Address - Country:US
Practice Address - Phone:703-560-1520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-10
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1295101YP2500X
VA0717000512106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional