Individual
VIVIAN D WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 N 21ST ST, OMAHA, NE 68110-1614
(402) 451-5549
Mailing address
PO BOX 19235, OMAHA, NE 68119-0235
(402) 451-5549
(402) 991-0777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000000
—
NE
Enumeration date
02/11/2019
Last updated
02/11/2019
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