Individual
MATTHEW WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 N GARNET CREEK AVE, STAR, ID 83669-8001
(208) 740-0544
(208) 906-8680
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61340253
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/24/2018
Last updated
03/05/2024
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