Wilson, Wanda L

Wilson, Wanda L is an sole proprietor health care provider with primary practice located at 6615 S Acacia St , Boise ID 83709-6683. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilson, Wanda L can be contacted via phone (208) 918-4894.

Contact Information

Primary practice address
6615 S Acacia St Boise ID 83709-6683
Phone: (208) 918-4894
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW-45394 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X 45394 Idaho

Profile Details

NPI number 1952640831
LBN Legal business name Wilson, Wanda L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2013
Last updated Jun 25th, 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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