| NPI | 1023904554 |
|---|---|
| Former Legal Business Name | WILD SAGE COUNSELING & WELLNESS PLLC |
| Entity Type | Organization |
| Authorized Contact | SALLY CLEARY Owner 208-890-3593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |