CHARLES TIMOTHY WILCOX

SHREVEPORT, LA
NPI1699898874
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  1571)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: LA  89)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
Mr. CHARLES TIMOTHY WILCOX L.P.C., LMFT
2520 LINE AVE
SHREVEPORT, LA 71104-3022
Phone number: 318-221-9300
Mailing Address
Mr. CHARLES TIMOTHY WILCOX L.P.C., LMFT
PO BOX 178
ELYSIAN FIELDS, TX 75642-0178
Phone number: 318-221-9300
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