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General NPI Number Information
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NPI Number | 1811105489
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Entity Type | Individual
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Provider Name | BRETT WILCOX M.ED.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 222 TONGASS DR
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City | SITKA
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State | AK
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Zip | 99835-9416
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Country | US
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Telephone | 907-966-8728
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Fax | 907-966-8723
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Provider Business Mailing Address
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Address Line | 2105 SAWMILL CREEK RD
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City | SITKA
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State | AK
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Zip | 99835-9711
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Country | US
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Telephone | 907-747-7437
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Fax | 907-747-7437
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 3179
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 332
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License Number State | AK
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