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DALE WILSON COUNSELING AND EVALUATION PLLC

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Company Details

Name: DALE WILSON COUNSELING AND EVALUATION PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Sep 2019 (6 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 3622216
Place of Formation: IDAHO
File Number: 680682
ZIP code: 83703
County: Ada County
Principal Address: DALE WILSON STE 101 6126 W STATE ST BOISE, ID 83703
Mailing Address: DALE WILSON STE 101 6126 W STATE ST BOISE, ID 83703-2741

Agent

Name Role Address
DALE K WILSON Agent 6126 W STATE ST, STE 101, BOISE, ID 83703

Manager

Name Role Address Appointed On
Dale Wilson Manager 6126 W STATE ST, BOISE, ID 83703 2020-09-03

National Provider Identifier

NPI Number:
1811502438
Certification Date:
2020-09-10

Authorized Person:

Name:
MR. DALE KEVIN WILSON
Role:
OWNER/SOCIAL WORKER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005928357 2024-10-04
Annual Report 0005429052 2023-10-04
Annual Report 0004942514 2022-10-06
Annual Report 0004376937 2021-08-10
Annual Report 0003994318 2020-09-03

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State