Provider Demographics
NPI:1952944001
Name:WRIGHT, CORI ALISON (MS, LMHC, SEP)
Entity Type:Individual
Prefix:
First Name:CORI
Middle Name:ALISON
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS, LMHC, SEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 VALENTINE WAY
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-7301
Mailing Address - Country:US
Mailing Address - Phone:505-988-1951
Mailing Address - Fax:
Practice Address - Street 1:6601 VALENTINE WAY
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-7301
Practice Address - Country:US
Practice Address - Phone:505-988-1951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT-CTL0205301101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health