Provider Demographics
NPI:1770737462
Name:WRIGHT, BRUCE CORNELL (LPCC-S)
Entity type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:CORNELL
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 GOLFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8030
Mailing Address - Country:US
Mailing Address - Phone:740-703-0092
Mailing Address - Fax:
Practice Address - Street 1:951 GOLFVIEW DR
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8030
Practice Address - Country:US
Practice Address - Phone:740-703-0092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-09
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0002953-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional