Wilcox, Michael Warren

Wilcox, Michael Warren is an sole proprietor health care provider with primary practice located at 1622 4Th St , Santa Rosa CA 95404-4020. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wilcox, Michael Warren can be contacted via phone (407) 820-7731.

Contact Information

Primary practice address
1622 4Th St Santa Rosa CA 95404-4020
Phone: (407) 820-7731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 15419 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X APCC4902 California
Behavioral Health & Social Service Providers / Professional 101YP2500X 4902 California

Profile Details

NPI number 1619426046
LBN Legal business name Wilcox, Michael Warren
Credentials M.A., M.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2016
Last updated Jan 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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