Individual
EBONY CIARA WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1801 HIGH ST, PORTSMOUTH, VA 23704-3105
(757) 381-6987
Mailing address
1801 HIGH ST, PORTSMOUTH, VA 23704-3105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008217
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701008217
LICENSE
VA
Enumeration date
04/26/2019
Last updated
07/08/2020
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