Search › Idaho › 1041C0700X
Wanda Wilson, LCSW
NPI 1952640831 · on the registry since 2013 · sole proprietor
Practice
- Address
- 6615 S Acacia St
Boise, ID 83709 - Phone
- (208) 918-4894
Additional practice sites
- 3770 E Amity Ave Unit 106, Nampa, ID
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-25
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