Individual provider · Type 1 NPI
Mallory Antonetta Wilson, SUDA
Addiction (Substance Use Disorder) Counselor · Twin Falls, ID
NPI number
1730923699
Active
Practice location
630 Addison Ave W Ste 1000
Twin Falls, ID 83301-5853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13044 (ID) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
14 other providers at this address
- Twin Falls CountyCommunity/Behavioral Health Agency Twin Falls, ID NPI 1558606962
- Deanna J. Neiwert, LSWSocial Worker Twin Falls, ID NPI 1568104404
- Dustin Burson MooreMental Health Counselor Twin Falls, ID NPI 1518672120
- Jeremy Ajeti, BSCase Management Agency Twin Falls, ID NPI 1538832266
- Jessica Rowe, LSWSocial Worker Twin Falls, ID NPI 1245829472
- Kim L. Grata, CADCAddiction (Substance Use Disorder) Counselor Twin Falls, ID NPI 1336738574
- Kristina Bunn, LSWSocial Worker Twin Falls, ID NPI 1528802493
- Megan Myers Humble, LMSWSocial Worker Twin Falls, ID NPI 1811702434
- Paul David Guymon, LMSWAddiction (Substance Use Disorder) Counselor Twin Falls, ID NPI 1407666845
- Stacey Renee Harr, BSCase Manager/Care Coordinator Twin Falls, ID NPI 1821703448
- Stacy DavenportCase Manager/Care Coordinator Twin Falls, ID NPI 1780399394
- Stephanie Lynn Callen, LSWAddiction (Substance Use Disorder) Counselor Twin Falls, ID NPI 1003405085
Other addiction (substance use disorder) counselor providers in Twin Falls
- Stephanie Lynn Callen, LSWAddiction (Substance Use Disorder) Counselor Twin Falls, ID NPI 1003405085
- Helen Flinn, ISASAddiction (Substance Use Disorder) Counselor Twin Falls, ID NPI 1023407426
- Lorene Hartje-Mahan, AADCAddiction (Substance Use Disorder) Counselor Twin Falls, ID NPI 1073060414
- Carmen D. Babb, CADCAddiction (Substance Use Disorder) Counselor Twin Falls, ID NPI 1174816573
- Dawn McArthur, BAAddiction (Substance Use Disorder) Counselor Twin Falls, ID NPI 1184899890
- Dawn Marie Nutting, CADC, CRCSAddiction (Substance Use Disorder) Counselor Twin Falls, ID NPI 1225875198
- Nancy W. BaileyAddiction (Substance Use Disorder) Counselor Twin Falls, ID NPI 1295923563
- Dorothy Hamilton, CADCAddiction (Substance Use Disorder) Counselor Twin Falls, ID NPI 1316261274
About NPI 1730923699
Mallory Antonetta Wilson, SUDA's National Provider Identifier is 1730923699, issued on Jun 24, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Twin Falls, ID. The record was last updated on Jun 24, 2024.