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NPI Code Detail

MEDICARE: MR. JOHN DARREN WRIGHT LPC

MEDICARE: MR. JOHN DARREN WRIGHT LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2008026587MO

General Provider Information

NPI Number : 1093739328
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN DARREN WRIGHT LPC
Provider Business Mailing Address
First Line : 1 OPTUM CIR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-2956
Country : US
Telephone Number : 763-361-6184
Fax Number :
Provider Business Practice Location Address
First Line : 1 OPTUM CIR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-2956
Country : US
Telephone Number : 763-361-6184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 03/23/2026

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