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Individual

HEATHER L WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1103 W IRONWOOD DR STE A, COEUR D ALENE, ID 83814-2604
(208) 889-1355
(208) 625-2036
Mailing address
2484 W BETH LOOP, POST FALLS, ID 83854-5366
(208) 889-1355
(208) 625-2036

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1431
MT
101YM0800X
Mental Health Counselor
Primary
LCPC-5644
ID
101YM0800X
Mental Health Counselor
LPC-5407
ID

Other

Enumeration date
10/12/2009
Last updated
07/10/2023
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