Randy Wild, LCPC is a mental health counselor in Boise, ID. Randy Wild, LCPC NPI is 1295939080. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3152 S BOWN WAY STE 103
BOISE, ID
ZIP 83706-456
Phone: (541) 550-7940
Fax: (541) 550-7941
The enumeration date for this NPI number is 6/13/2007 and was last updated on 2/14/2024.