Individual
BRUCE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2424 SPRING ST, PASO ROBLES, CA 93446-1226
(805) 239-3208
Mailing address
2424 SPRING ST, PASO ROBLES, CA 93446-1226
(805) 239-3208
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/09/2016
Last updated
10/25/2017
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