CENTRAL MOUNTAINS COUNSELING, PLLC
Agencies at Deinhard Ln, Mccall, ID

License number
Idaho LCSW-30132
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MR. JACOB W. WILSON LCSW
Title: OWNER/CLINICIAN
Phone: (208) 630-4040
Address
Address
301 Deinhard Ln, Mccall, ID 83638
National Provider ID: 1841470887
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CENTRAL MOUNTAINS COUNSELING, PLLC

McCall, ID

Industry:
Individual/Family Services
Registration:
Oct 25, 2007
Addresses:
PO Box 2553, McCall, ID 83638 (Physical)
200 Frst St, McCall, ID 83638
PO Box 2430, McCall, ID 83638
State ID:
W67972
Business type:
LIMITED LIABILITY COMPANY
Owners:
Jacob W. Wilson (Owner, Principal, Social Worker),Shawn J. Briley (Owner)
Agent:
Jacob Wilson,301 Deinhard, McCall, ID 83638 (Physical)

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