Organization · Type 2 NPI

Wild Life Community Counseling PLLC

Clinical Social Worker · Bonners Ferry, ID

NPI number 1699413757 Active

Practice location

264 Black Mountain Rd
Bonners Ferry, ID 83805-5308

Mailing address

PO Box 172
Bonners Ferry, ID 83805-0172

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1699413757

Wild Life Community Counseling PLLC's National Provider Identifier is 1699413757, issued on May 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bonners Ferry, ID. The record was last updated on Jan 11, 2023.