MR. Joseph Carroll Wilson, M.S.W.,L.C.S.W.

NPI #1649367418 in Mccall, Idaho

Provider Information

NPI Number: 1649367418
Entity Type: Individual
Name: MR. Joseph Carroll Wilson, M.S.W.,L.C.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: M.S.W.,L.C.S.W.
Enumeration Date: Oct 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 200 FOREST ST.
City: Mccall
State: Idaho
ZIP Code: 83638
Phone: (208) 634-2899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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