Individual
JEAN MICHELLE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
5104 REAGAN DR, CHARLOTTE, NC 28206-1396
(704) 281-6277
Mailing address
PO BOX 756, HARRISBURG, NC 28075-0756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A15070
NC
101YP2500X
Professional Counselor
Primary
A15070
NC
Other
Enumeration date
08/12/2019
Last updated
04/09/2021
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