Shaquera M Wilcox
Individual provider Active NPI Mental Health Counselor · Pine Hill, NJ
NPI 1639676604 · NPPES record last updated Apr 6, 2018
Key facts
- NPI
- 1639676604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 77 Millstream Rd
Pine Hill, NJ 08021-6447 - Phone
- (856) 861-5448
- Fax
- (856) 599-8300
- NPI assigned
- Apr 6, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
77 Millstream Rd
Pine Hill, NJ 08021-6447
Mailing address
77 Millstream Rd
Pine Hill, NJ 08021-6447
Phone (856) 861-5448
Other providers in Pine Hill, NJ
- Twin Oaks Community Services. Inc
- Edwina Vanotoo
- Sarah Vega
- Versatile Transportation
- Christina M Weber
- Deivonne Windsor
- Women of Hope Resource Center, Inc,
All providers in Pine Hill, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.