Michael Wilson

NPI #1912407149 in Caldwell, Idaho

Provider Information

NPI Number
1912407149
Entity Type
Individual
Name
Michael Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Feb 14, 2018
Last Updated
Dec 18, 2025

Practice Location

Address
211 E LOGAN ST STE 201
State
Idaho
ZIP Code
83605-4883
Phone
(208) 454-1480

Specialties & Taxonomy Codes

Specialty
Counselor

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