TRAVIS DEAN WILSON

BOISE, ID
NPI1568688711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-3432)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
Mr. TRAVIS DEAN WILSON LCPC, ACADC
8258 W ORBIT DR
BOISE, ID 83709-7876
Phone number: 208-850-2798
Mailing Address
Mr. TRAVIS DEAN WILSON LCPC, ACADC
8258 W ORBIT DR
BOISE, ID 83709-7876
Phone number: 208-850-2798
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