Individual
LAURA WILCOXEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15421 FOREST RD STE C, FOREST, VA 24551-2274
(434) 338-7129
Mailing address
15421 FOREST RD STE C, FOREST, VA 24551-2274
(434) 262-0165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704016373
VA
Other
Enumeration date
12/02/2024
Last updated
08/08/2025
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