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Individual
KAREN WILCOX
Active
Individual
KAREN WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC-LAC-LIC-3382
MT
101YM0800X
Mental Health Counselor
Primary
8122
MT
101YP2500X
Professional Counselor
SWP-LCPC-LIC-8122
MT
101YS0200X
School Counselor
112095
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0555220
—
MT
Enumeration date
10/21/2013
Last updated
12/09/2024
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