Olivia Wilson

NPI #1891945879 in Pocatello, Idaho

Provider Information

NPI Number
1891945879
Entity Type
Individual
Name
Olivia Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Sep 25, 2008
Last Updated
Sep 25, 2008

Practice Location

Address
2055 GARRETT WAY
Address 2
STE 1
State
Idaho
ZIP Code
83201-5100
Phone
(208) 236-1600

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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