person
Mr. Joseph Carroll Wilson, MSW,LCSW
Mental Health Counselor in Mccall, Idaho
NPI 1649367418

Joseph Carroll Wilson is a Mental Health Counselor based in Mccall, ID and is specialized in Mental Health. Joseph Carroll Wilson practices in Mccall, ID and has the professional credentials of MSW,LCSW. The NPI Number for Joseph Carroll Wilson is 1649367418 and holds a License No. M.S.W.,L.C.S.W 900 (Idaho).

The current practice location address for Joseph Carroll Wilson is 200 Forest St., Mccall, ID and can be reached out via phone at 208-634-2899 and via fax at 208-634-2564.

Location: 200 Forest St., Mccall, ID, 83638
person
Provider Profile Details
NPI Number
1649367418
Provider Name
Joseph Carroll Wilson
Credential
MSW,LCSW
Provider Entity Type
Individual
Gender
Male
Address
200 Forest St., Mccall, ID, 83638
Phone Number
208-634-2899
Fax Number
208-634-2564
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
L9024 01 ID BLUE CROSS
REGENCE/BLUE SHIELD 01 ID 000010017445
institution
Provider Business Practice Location Address Details
Address
200 Forest St.
City
State
Zip
83638
Phone Number
208-634-2899
Fax Number
208-634-2564
person
Provider Business Mailing Address Details
Address
200 Forest St.
City
State
Zip
83638
Phone Number
208-634-2899
Fax Number
208-634-2564
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
M.S.W.,L.C.S.W 900 (Idaho)
Definition
Definition to come...
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