Individual
COLLIN BRYANT WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
17473 SE WALTA VISTA DR, MILWAUKIE, OR 97267-5542
(503) 929-1838
Mailing address
17473 SE WALTA VISTA DR, MILWAUKIE, OR 97267-5542
(503) 929-1838
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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