Individual
MS. JACQUELINE F WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
179 PALISADE AVE, JERSEY CITY, NJ 07306-1103
(201) 795-8375
(201) 795-8381
Mailing address
145A BAYVIEW AVE, JERSEY CITY, NJ 07305-3368
(201) 795-8046
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
44SW00424200
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00182700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295655
—
NJ
Enumeration date
09/24/2013
Last updated
09/24/2013
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