Individual
STEVE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA-CAAC
Contact information
Practice address
1095 3RD ST, MUSKEGON, MI 49441-1976
(231) 726-4735
(231) 722-0789
Mailing address
1095 3RD ST, MUSKEGON, MI 49441-1976
(231) 726-4735
(231) 722-0789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C-00703
MI
101YM0800X
Mental Health Counselor
C-00703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912452
—
MI
01
—
750910513
BCBS
MI
01
—
750910517
BCBS
MI
01
—
750910519
BCBS
MI
01
—
750910524
BCBS
MI
01
—
750910527
BCBS
MI
01
—
750910530
BCBS
MI
Enumeration date
04/24/2009
Last updated
04/24/2009
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