Sandra Gail Wilcox, LPC, MA, MDiv
Counselor, Professional in Austin, TX. Individual provider (NPI-1).
NPI number1437582467
StatusActive
Last updated in NPPESAug 13, 2013
Details
- NPI
- 1437582467
- Entity type
- Individual (NPI-1)
- Name
- Ms. Sandra Gail Wilcox
- Credential
- LPC, MA, MDiv
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2013
- Last updated
- Aug 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 66947 | TX | Yes |
Other names
- Sandi Wilcox (Professional Name)
Practice location
4131 Spicewood Springs RdSuite C4
Austin, TX 78759-8661
Phone 512-585-6457
Mailing address
5505 Mapleleaf DrAustin, TX 78723-2610
Phone 512-585-6457
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