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Contact Information

DALE WILSON, LCSW
6126 W STATE ST STE 101
BOISE, ID83703-2741
 Phone: 208-713-9627
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for DALE WILSON · (Male)

NPI Number 1982901435
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 02/18/2011
Last updated 08/10/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # LCSW - 33650
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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