SearchIdaho101YP2500X

David Wilson, LCPC

NPI 1386917821 · on the registry since 2012

Practice

Address
845 W Center St
Pocatello, ID 83204
Phone
(208) 589-1568
Organisation at this address
4 The Kids Llc
Christy Kelshaw
Radiant Soul Llc
Bay Roots Counseling
Oasis Counseling, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho