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NPI 1841185428

NPI 1841185428 : BRYNN WRIGHT LCPC : NAMPA, ID

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General NPI Number Information
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    NPI Number           |    1841185428
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    Entity Type          |    Individual 
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    Provider Name        |    BRYNN WRIGHT LCPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/12/2025
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    Last Update Date     |    06/12/2025
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Provider Practice Location Address
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    Address Line         |    1021 W HEMINGWAY BLVD 
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    City                 |    NAMPA
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    State                |    ID
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    Zip                  |    83651-1763
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    Country              |    US
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    Telephone            |    208-505-9990
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    290 W SCREECH OWL DR 
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    City                 |    KUNA
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    State                |    ID
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    Zip                  |    83634-3527
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    2671454
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    License Number State |    ID
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