Wilson, Jacob W.

Wilson, Jacob W. is an individual health care provider with primary practice located at 824 S Diamond St , Nampa ID 83686-5960. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilson, Jacob W. can be contacted via phone (208) 812-4999.

Contact Information

Primary practice address
824 S Diamond St Nampa ID 83686-5960
Phone: (208) 812-4999
Fax: (208) 634-4055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW30132 Idaho

Profile Details

NPI number 1114286648
LBN Legal business name Wilson, Jacob W.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2012
Last updated Jul 12th, 2023 - 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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