Provider Demographics
NPI:1982256731
Name:WRIGHT, MEGAN R (LPC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:R
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:R
Other - Last Name:MARSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3726 LAKE ST STE B
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:AK
Mailing Address - Zip Code:99603-7663
Mailing Address - Country:US
Mailing Address - Phone:907-931-6930
Mailing Address - Fax:907-931-6931
Practice Address - Street 1:3726 LAKE ST STE B
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603-7663
Practice Address - Country:US
Practice Address - Phone:907-931-6930
Practice Address - Fax:907-931-6931
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK156058101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional