| Laura Wilcox | |
|
500 Crown Point Cir Suite 120 Grass Valley CA 95945-9514 | |
| (530) 265-1437 | |
| Not Available |
| Full Name | Laura Wilcox |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 500 Crown Point Cir, Grass Valley, California |
| Authorized Official Name and Position | Michael Heggarty (DIRECTOR OF BEHAVIORAL HEALTH) |
| Authorized Official Contact | 5302651437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Wilcox 500 Crown Point Cir Suite 120 Grass Valley CA 95945-9514 Ph: () - | Laura Wilcox 500 Crown Point Cir Suite 120 Grass Valley CA 95945-9514 Ph: (530) 265-1437 |
| NPI Number | 1356564439 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356564439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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