IndividualActive
Carol Wilcox
NPI 1497112130 · Addiction (Substance Use Disorder) Counselor · White City, OR
Provider details
- NPI number
- 1497112130
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 05-11-92 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3131 Avenue C
White City, OR 97503-1443
Phone: (541) 864-8701
Fax: (541) 864-8799
Approximate (ZIP-level) locationGet directions
Mailing address
3131 Avenue C
White City, OR 97503-1443
Registry dates
- Enumerated
- 2016-01-26
- Last updated
- 2016-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.