Individual provider · Type 1 NPI

Dale Wilson, LCSW

Mental Health Counselor · Boise, ID

NPI number 1982901435 Active

Practice location

6126 W State St Ste 101
Boise, ID 83703-2741

Call (208) 713-9627 Map

Mailing address

7983 W Whittaker St
Boise, ID 83714-2055

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLCSW - 33650 (ID)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCSW - 33650 (ID)
Pastoral Counselor 101YP1600XLCSW - 33650 (ID)
Mental Health Counselor Primary 101YM0800XLCSW - 33650 (ID)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1982901435

Dale Wilson, LCSW's National Provider Identifier is 1982901435, issued on Feb 18, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Aug 10, 2021.