Provider Demographics
NPI:1356406615
Name:WILCOX, GAIL PATRICIA (LADC, LPC)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:PATRICIA
Last Name:WILCOX
Suffix:
Gender:F
Credentials:LADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 GREAT OAKS DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-2144
Mailing Address - Country:US
Mailing Address - Phone:405-519-3219
Mailing Address - Fax:
Practice Address - Street 1:1005 N FLOOD AVE
Practice Address - Street 2:SUITE 137
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-7656
Practice Address - Country:US
Practice Address - Phone:405-519-3219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
OK4944101YP2500X
OK741101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)