Healthcare Provider Details

I. General information

NPI: 1538708334
Provider Name (Legal Business Name): WRIGHT CONSCIOUS COUNSELING, A PSYCHOLOGICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2019
Last Update Date: 12/27/2019
Certification Date: 12/27/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26895 ALISO CREEK RD STE B160
ALISO VIEJO CA
92656-5301
US

IV. Provider business mailing address

26895 ALISO CREEK RD STE B160
ALISO VIEJO CA
92656-5301
US

V. Phone/Fax

Practice location:
  • Phone: 714-527-1082
  • Fax:
Mailing address:
  • Phone: 714-527-1082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JULIANN WRIGHT
Title or Position: OWNER
Credential: PSYD
Phone: 714-527-1082