Individual
MS. KATHY A WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC LMFT LMHC
Contact information
Practice address
21 JOLIET ST, BEHAVIORLAL HEALTH OP, DYER, IN 46211
(219) 865-2141
Mailing address
1143 S PLYMOUTH CT, #406, CHICAGO, IL 60605-2061
(312) 505-2044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001450A
IN
101YP2500X
Professional Counselor
180002752
IL
106H00000X
Marriage & Family Therapist
35000980A
IN
Other
Enumeration date
06/11/2007
Last updated
03/19/2014
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