Dale Wilson Counseling And Evaluation | |
6126 W State St Ste 101 Boise ID 83703-2741 | |
(208) 713-9627 | |
Not Available |
Full Name | Dale Wilson Counseling And Evaluation |
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Speciality | Social Worker |
Location | 6126 W State St Ste 101, Boise, Idaho |
Authorized Official Name and Position | Dale Kevin Wilson (OWNER/SOCIAL WORKER) |
Authorized Official Contact | 2087139627 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dale Wilson Counseling And Evaluation 6126 W State St Ste 101 Boise ID 83703-2741 Ph: (208) 713-9627 | Dale Wilson Counseling And Evaluation 6126 W State St Ste 101 Boise ID 83703-2741 Ph: (208) 713-9627 |
NPI Number | 1811502438 |
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Provider Enumeration Date | 09/10/2020 |
Last Update Date | 09/10/2020 |
Certification Date | 09/10/2020 |
Medicare PECOS PAC ID | 4587074430 |
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Medicare Enrollment ID | O20201103002897 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811502438 | NPI | - | NPPES |
Provider Name | Dale K Wilson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982901435 PECOS PAC ID: 3971864943 Enrollment ID: I20180308000978 |
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