Wilson, Dale

Wilson, Dale is an sole proprietor health care provider with primary practice located at 6126 W State St Ste 101 , Boise ID 83703-2741. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wilson, Dale can be contacted via phone (208) 713-9627.

Contact Information

Primary practice address
6126 W State St Ste 101 Boise ID 83703-2741
Phone: (208) 713-9627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LCSW - 33650 Idaho
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCSW - 33650 Idaho
Behavioral Health & Social Service Providers / Pastoral 101YP1600X LCSW - 33650 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW - 33650 Idaho

Profile Details

NPI number 1982901435
LBN Legal business name Wilson, Dale
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2011
Last updated Aug 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers