| Doctor Name: | ADAM WILCOX |
| NPI Number: | 1336566645 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | PC007474 |
| Business Practice Address: | 1001 N 6th St Bellwood, PA - 166171007 |
| Business Phone Number: | 7179265965 |
| Business Fax Number: | |
| Mailing Address: | 1310 Valley View Blvd, ALTOONA |
| State: | PA |
| Postal Code: | 166026080 |
| Phone Number: | 8149449970 |
| Fax Number: | 8149449974 |
| NPI Enumeration Date: | 03/25/2014 |
| NPI Last Update Date: | 05/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC007474 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |