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NPI Code Detail

MEDICARE: ANDREW JOSEPH WILCOXSON LPCC

MEDICARE: ANDREW JOSEPH WILCOXSON LPCC
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
1101YP2500XProfessional Counselor
2101YM0800XMental Health CounselorE.2505800OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649959594
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW JOSEPH WILCOXSON LPCC
Provider Business Mailing Address
First Line : 4522 FULTON DR NW
Second Line :
City : CANTON
State : OH
Zip : 44718-2332
Country : US
Telephone Number : 330-915-2907
Fax Number : 330-915-2907
Provider Business Practice Location Address
First Line : 5611 HUDSON DR STE 400
Second Line :
City : HUDSON
State : OH
Zip : 44236-4452
Country : US
Telephone Number : 330-915-2907
Fax Number : 330-915-2958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 04/06/2026

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Directions to “ ANDREW JOSEPH WILCOXSON LPCC” Practice Location

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