Doctor Name: | MRS. AMANDA JO WILCOX |
NPI Number: | 1538552013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | 101YA0400X |
Business Practice Address: | 1231 N 29th St Billings, MT - 591010122 |
Business Phone Number: | 4062483175 |
Business Fax Number: | 4062483821 |
Mailing Address: | 1231 N 29th St, BILLINGS |
State: | MT |
Postal Code: | 591010122 |
Phone Number: | 4062483175 |
Fax Number: | 4062483821 |
NPI Enumeration Date: | 03/09/2015 |
NPI Last Update Date: | 03/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 101YA0400X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |