Provider Demographics
NPI:1790003937
Name:WRIGHT, CANDICE (LPC)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6111 E SKELLY DR
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-6100
Mailing Address - Country:US
Mailing Address - Phone:918-273-1841
Mailing Address - Fax:918-999-0111
Practice Address - Street 1:6111 E SKELLY DR
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-6100
Practice Address - Country:US
Practice Address - Phone:918-273-1841
Practice Address - Fax:918-999-0111
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5423101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health