Healthcare Provider Details

I. General information

NPI: 1598571341
Provider Name (Legal Business Name): SARAH JANE WRIGHT MS, NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 PEACH ST STE 120
ERIE PA
16508-2768
US

IV. Provider business mailing address

PO BOX 7
CONNEAUTVILLE PA
16406-0007
US

V. Phone/Fax

Practice location:
  • Phone: 814-453-4718
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC017772
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: