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NPI 1891123352

NPI 1891123352 : KAREN WILCOX LCPC, LAC : BILLINGS, MT

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General NPI Number Information
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    NPI Number           |    1891123352
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN WILCOX LCPC, LAC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/21/2013
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    Last Update Date     |    12/09/2024
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Provider Practice Location Address
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    Address Line         |    2040 BROADWATER AVE 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59102-4811
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    Country              |    US
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    Telephone            |    406-812-0350
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 21841 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59104-1841
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    Country              |    US
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    Telephone            |    406-812-0350
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    Fax                  |    
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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       |    LAC-LAC-LIC-3382
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    License Number State |    MT
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    SWP-LCPC-LIC-8122
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    License Number State |    MT
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Taxonomy #3
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    Taxonomy Code        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    112095
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    License Number State |    MT
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Taxonomy #4
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    8122
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    License Number State |    MT
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