| Doctor Name: | REBECCA COMIRE WILCOX |
| NPI Number: | 1104216951 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED, MS, CAS |
| License Number: | A10449 |
| Business Practice Address: | 1311 Goldie St Suite A Kill Devil Hills, NC - 279487519 |
| Business Phone Number: | 2527223308 |
| Business Fax Number: | |
| Mailing Address: | 5003 The Woods Rd, KITTY HAWK |
| State: | NC |
| Postal Code: | 279494023 |
| Phone Number: | 2527223308 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2015 |
| NPI Last Update Date: | 02/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | A10449 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |