Individual provider · Type 1 NPI

Ariel Divinity Wilcoxen, M.S

Mental Health Counselor · Yucaipa, CA

NPI number 1013452440 Active

Practice location

10776 Fremont St
Yucaipa, CA 92399-9630

Call (909) 797-0114 Map

Mailing address

10776 Fremont St, Yucaipa, Ca, 92399
Yucaipa, CA 92399

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800X15136 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1013452440

Ariel Divinity Wilcoxen, M.S's National Provider Identifier is 1013452440, issued on Dec 20, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Yucaipa, CA. The record was last updated on Jun 5, 2024.