| Jessica Wright Licensed Professional Clinical Counselor Inc. | |
|
4143 Via Marina Marina Del Rey CA 90292-5303 | |
| (310) 571-8912 | |
| Not Available |
| Full Name | Jessica Wright Licensed Professional Clinical Counselor Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4143 Via Marina, Marina Del Rey, California |
| Authorized Official Name and Position | Jessica Wright (OWNER/THERAPIST) |
| Authorized Official Contact | 3105718912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Wright Licensed Professional Clinical Counselor Inc. 578 Washington Blvd # 285 Marina Del Rey CA 90292-5421 Ph: (310) 571-8912 | Jessica Wright Licensed Professional Clinical Counselor Inc. 4143 Via Marina Marina Del Rey CA 90292-5303 Ph: (310) 571-8912 |
| NPI Number | 1396501466 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396501466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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