Individual
MRS. WENDI WILCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
136 S ACADEMY AVE, EAGLE, ID 83616-6541
(208) 649-4797
(208) 600-0857
Mailing address
136 S ACADEMY AVE, EAGLE, ID 83616-6541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
ID
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/28/2008
Last updated
06/15/2023
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