| Doctor Name: | HEATHER L. WILCOXON |
| NPI Number: | 1093150211 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCMHC |
| License Number: | MH 11325 |
| Business Practice Address: | 122 Pleasant St Claremont, NH - 037432679 |
| Business Phone Number: | 6035425449 |
| Business Fax Number: | 6035425455 |
| Mailing Address: | 9 Hanover St, Suite 2 LEBANON |
| State: | NH |
| Postal Code: | 037661312 |
| Phone Number: | 6034480126 |
| Fax Number: | 6034486001 |
| NPI Enumeration Date: | 05/01/2013 |
| NPI Last Update Date: | 07/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 11325 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |