Individual
MICHAEL WARREN WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.A.
Contact information
Practice address
3554 ROUND BARN BLVD STE 212, SANTA ROSA, CA 95403-0931
(707) 571-3778
Mailing address
3554 ROUND BARN BLVD STE 212, SANTA ROSA, CA 95403-0931
(707) 571-3778
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC8013
CA
Other
Enumeration date
09/27/2016
Last updated
10/29/2024
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