Individual
BRIAN B WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
56 TWIN OAKS TER, SOUTH BURLINGTON, VT 05403-7167
(802) 847-3333
(802) 847-1424
Mailing address
69 BRYAN POND RD, MORRISVILLE, VT 05661-9123
(802) 888-8462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000514
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007522
—
VT
Enumeration date
08/23/2006
Last updated
07/08/2007
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