Organization
DUPERLY WRIGHT, MA, MFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUPERLY WRIGHT (OWNER)
(408) 406-7698
Entity
Organization
Contact information
Practice address
4125 BLACKFORD AVE STE 245, SAN JOSE, CA 95117-1705
(408) 406-7698
Mailing address
4125 BLACKFORD AVE STE 245, SAN JOSE, CA 95117-1705
(408) 406-7698
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFT46673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11980213
CAQH
CA
01
—
MFT46673
BBSE
CA
Enumeration date
10/28/2009
Last updated
10/17/2023
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