Provider Demographics
NPI:1356550388
Name:BRIGHT, JO LYNN (LCMFT)
Entity type:Individual
Prefix:MRS
First Name:JO
Middle Name:LYNN
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6722 N ULYSSES ST
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67219-1532
Mailing Address - Country:US
Mailing Address - Phone:316-744-3689
Mailing Address - Fax:
Practice Address - Street 1:300 W DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-2916
Practice Address - Country:US
Practice Address - Phone:316-265-9922
Practice Address - Fax:316-265-9427
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist