MEDICARE: MARY KATHERINE WRIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	6451024983	MI

General Provider Information

NPI Number	:	1629901483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY KATHERINE WRIGHT

Provider Business Mailing Address
First Line	:	215 N ROBINSON ST
Second Line	:
City	:	PERRINTON
State	:	MI
Zip	:	48871-9702
Country	:	US
Telephone Number	:	989-613-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 E BROADWAY ST
Second Line	:
City	:	MT PLEASANT
State	:	MI
Zip	:	48858-2647
Country	:	US
Telephone Number	:	989-613-7800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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