Wild Life Community Counseling Pllc

NPI #1699413757 in Bonners Ferry, Idaho

Provider Information

NPI Number
1699413757
Entity Type
Organization
Organization Name
Wild Life Community Counseling Pllc
Primary Specialty
Social Worker - Clinical
Enumeration Date
May 26, 2022
Last Updated
Jan 11, 2023

Practice Location

Address
264 BLACK MOUNTAIN RD
State
Idaho
ZIP Code
83805-5308
Phone
(208) 416-3850

Authorized Official

Name
DEAN MICHAEL JENNINGS, LCSW
Title
LCSW
Phone
(208) 416-3850

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health
Social Worker - ClinicalClinical

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