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Contact Information

KELLY J WRIGHT SR, LCSW, CDCII
505 W NORTHERN LIGHTS BLVD STE 217
ANCHORAGE, AK99503-2553
 Phone: 907-980-6648
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KELLY J WRIGHT SR · (Male)

NPI Number 1811264757
Credentials LCSW, CDCII
Entity Individual
Enumeration date 11/21/2011
Last updated 11/21/2011 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
AK License # 1078
AK License # 2262
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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