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Individual

HEATHER L. WILCOXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC

Contact information

Practice address
122 PLEASANT ST, CLAREMONT, NH 03743-2679
(603) 542-5449
(603) 542-5455
Mailing address
9 HANOVER ST, SUITE 2, LEBANON, NH 03766-1312
(603) 448-0126
(603) 448-6001

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
982
NH
101YM0800X
Mental Health Counselor
MH 11325
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3088608
NH
Enumeration date
05/01/2013
Last updated
07/21/2014
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