Individual
MR. JOHN WESLEY WRIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
4383 S. 27TH STREET, MILWAUKEE, WI 53216
(414) 871-8883
(414) 871-8950
Mailing address
4383 S 27TH ST., MILWAUKEE, WI 53216
(414) 871-8883
(414) 871-8950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11350-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39393900
—
WI
Enumeration date
10/21/2008
Last updated
10/21/2008
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