Provider Demographics
NPI:1821398074
Name:WILCHER, CAROLE MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:MARIE
Last Name:WILCHER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 NETTLETON DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-7743
Mailing Address - Country:US
Mailing Address - Phone:972-283-8337
Mailing Address - Fax:
Practice Address - Street 1:1509 NETTLETON DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-7743
Practice Address - Country:US
Practice Address - Phone:972-283-8337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-21
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)