Wilcox, Michelle Christine

Wilcox, Michelle Christine is an individual health care provider with primary practice located at 940 E South Union Ave , Midvale UT 84047-2302. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilcox, Michelle Christine can be contacted via phone (385) 235-6926.

Contact Information

Primary practice address
940 E South Union Ave Midvale UT 84047-2302
Phone: (385) 235-6926
Fax: (801) 255-7284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 270969-6008 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X 270969-3501 Utah

Profile Details

NPI number 1134197940
LBN Legal business name Wilcox, Michelle Christine
Credentials LCSW, LASUDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Nov 7th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134197940 NPPES
Utah MEDICAID 788007788032

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