Individual
LEVI THOMAS WIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7711 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 853-8536
(208) 853-2929
Mailing address
9361 SOUTH 300 EAST, SANDY, UT 84070
(801) 826-5000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-2872
ID
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
05/27/2022
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