Individual
AUTUMN NICOLE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2566 FRANKFORD AVE, PHILADELPHIA, PA 19125-1743
(215) 303-8336
Mailing address
2221 MOUNT CARMEL AVE FL 2, GLENSIDE, PA 19038-4735
(215) 303-8336
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC018223
PA
225600000X
Dance Therapist
—
—
Other
Enumeration date
04/05/2021
Last updated
02/19/2025
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