Individual provider · Type 1 NPI
Joseph Carroll Wilson, M.S.W., L.C.S.W.
Mental Health Counselor · Mccall, ID
NPI number
1649367418
Active
Practice location
200 Forest St.
Mccall, ID 83638
Fax (208) 634-2564
Mailing address
P.o. Box 2430
Mccall, ID 83638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | M.S.W.,L.C.S.W 900 (ID) |
Mental Health Counselor: Definition to come...
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About NPI 1649367418
Joseph Carroll Wilson, M.S.W., L.C.S.W.'s National Provider Identifier is 1649367418, issued on Oct 5, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mccall, ID. The record was last updated on Jul 8, 2007.