MR. Kory David Wilson, LPC-3463
NPI #1467675975 in Rexburg, Idaho
Provider Information
- NPI Number
- 1467675975
- Entity Type
- Individual
- Name
- MR. Kory David Wilson, LPC-3463
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC-3463
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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