Healthcare Provider Details

I. General information

NPI: 1649192675
Provider Name (Legal Business Name): ALBERTA WRIGHT AMFT
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: BERT WRIGHT AMFT

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 N RAYMOND AVE
PASADENA CA
91103-3930
US

IV. Provider business mailing address

2436 E 4TH ST # 1427
LONG BEACH CA
90814-1156
US

V. Phone/Fax

Practice location:
  • Phone: 626-283-9680
  • Fax:
Mailing address:
  • Phone: 323-455-4769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number23084
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164075
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: