Individual
MS. CHRISTINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC 19 - LMFT 34
Contact information
Practice address
3318 N COLE RD, BOISE, ID 83704-4403
(208) 375-2730
(208) 658-6137
Mailing address
3318 N COLE RD, BOISE, ID 83704-4403
(208) 375-2730
(208) 658-6137
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC 19 LMFT 34
ID
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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