Provider Demographics
NPI:1861783235
Name:WRIGHT, MEDIA DEBRA (MA, DM, LCADC)
Entity type:Individual
Prefix:DR
First Name:MEDIA
Middle Name:DEBRA
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MA, DM, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 HUMBOLDT ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-1603
Mailing Address - Country:US
Mailing Address - Phone:775-287-0232
Mailing Address - Fax:775-657-6342
Practice Address - Street 1:527 HUMBOLDT ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1603
Practice Address - Country:US
Practice Address - Phone:775-287-0232
Practice Address - Fax:775-657-6342
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00171-LC101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health