Individual
KATRINA M WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
900 WARREN AVE STE 401, EAST PROVIDENCE, RI 02914-1430
(401) 421-4000
Mailing address
900 WARREN AVE STE 401, EAST PROVIDENCE, RI 02914-1430
(401) 421-4000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00481
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDP00481
LICENSE
RI
Enumeration date
07/16/2010
Last updated
06/03/2024
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