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NPI Code Detail

MEDICARE: HEATHER L WILCOX LMFT

MEDICARE: HEATHER L WILCOX LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistIMF 50679CA
2106H00000XMarriage & Family Therapist0717001425VA

General Provider Information

NPI Number : 1316084981
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER L WILCOX LMFT
Provider Business Mailing Address
First Line : 801 N QUINCY ST STE 601
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-1729
Country : US
Telephone Number : 703-812-4642
Fax Number :
Provider Business Practice Location Address
First Line : 801 N QUINCY ST STE 601
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-1729
Country : US
Telephone Number : 703-812-4642
Fax Number : 443-279-0738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 02/02/2024

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Directions to “ HEATHER L WILCOX LMFT” Practice Location

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