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:
Health care specialties
Specialty | Code | License # | 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.
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