Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wild Life Community Counseling PLLC

Organization Clinical Social Worker · NPI 1699413757

Wild Life Community Counseling PLLC is a Clinical Social Worker in Bonners Ferry, Idaho. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

264 Black Mountain Rd
Bonners Ferry, ID 83805-5308
Phone: (208) 416-3850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1699413757
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dean Jennings — Lcsw · (208) 416-3850
NPI enumeratedMay 26, 2022
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023
Mailing addressPo Box 172, Bonners Ferry, ID 83805-0172

Other providers in Bonners Ferry