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General NPI Number Information
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NPI Number | 1962091553
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Entity Type | Individual
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Provider Name | GREGORY T WRIGHT JR. LPC, LCPC, LCAD-S
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Gender | Male
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Dates
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Enumeration Date | 01/18/2021
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 6915 LAUREL BOWIE RD STE 204
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City | BOWIE
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State | MD
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Zip | 20715-1715
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Country | US
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Telephone | 301-574-7110
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Fax |
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Provider Business Mailing Address
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Address Line | 6915 LAUREL BOWIE RD STE 204
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City | BOWIE
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State | MD
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Zip | 20715-1715
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Country | US
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Telephone | 443-942-2361
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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 | PRC200002435
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | MD
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