Healthcare Provider Details

I. General information

NPI: 1396571253
Provider Name (Legal Business Name): JENNA WRIGHT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 E MAIDEN ST
WASHINGTON PA
15301-4963
US

IV. Provider business mailing address

297 FAIRMOUNT CHURCH RD
CLAYSVILLE PA
15323-1170
US

V. Phone/Fax

Practice location:
  • Phone: 724-228-2200
  • Fax:
Mailing address:
  • Phone: 724-228-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020367
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: