Wilson, David

Wilson, David is an individual health care provider with primary practice located at 845 W Center St , Pocatello ID 83204-4205. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wilson, David can be contacted via phone (208) 589-1568.

Contact Information

Primary practice address
845 W Center St Pocatello ID 83204-4205
Phone: (208) 589-1568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC-10027 Idaho

Profile Details

NPI number 1386917821
LBN Legal business name Wilson, David
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2012
Last updated Jul 11th, 2025 - about last year

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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