Search › Idaho › 1041C0700X
Michael Wilson, LCSW
NPI 1366708216 · on the registry since 2012
Practice
- Address
- 10421 W Brownstone Dr
Boise, ID 83709 - Phone
- (208) 724-0913
- Fax
- (208) 561-8373
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho