Provider Demographics
NPI:1871887786
Name:WRIGHT, CHRISTIAN (PRS)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 GLENDA WAY APT 3
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4777
Mailing Address - Country:US
Mailing Address - Phone:775-750-1805
Mailing Address - Fax:775-337-9570
Practice Address - Street 1:1175 GLENDA WAY APT. 3
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509
Practice Address - Country:US
Practice Address - Phone:775-750-1805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health