Individual provider · Type 1 NPI
Carol Wilcox
Addiction (Substance Use Disorder) Counselor · White City, OR
NPI number
1497112130
Active
Practice location
3131 Avenue C
White City, OR 97503-1443
Fax (541) 864-8799
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 05-11-92 (OR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1497112130
Carol Wilcox's National Provider Identifier is 1497112130, issued on Jan 26, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in White City, OR. The record was last updated on Jan 26, 2016.