Mr. Kory David Wilson, CMHC-7172909-6004
Mr. Kory David Wilson, CMHC-7172909-6004 is a Professional Counselor in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
218 Dividend Dr Ste 3Rexburg, ID 83440-3510
Phone: (208) 359-9683
Fax: (208) 359-9683
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence LPC-3463 (ID) |
|---|
Record details
| NPI number | 1467675975 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CMHC-7172909-6004 |
| Sole proprietor | No |
| NPI enumerated | April 11, 2007 |
| Last updated in NPPES | June 10, 2026 |
| Certification date | June 10, 2026 |
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