person
Mrs. Diane Broady Wilson, LPC
Professional Counselor in Amarillo, Texas
NPI 1881605665

Diane Broady Wilson is a Professional Counselor based in Amarillo, TX and is specialized in Professional. Diane Broady Wilson practices in Amarillo, TX and has the professional credentials of LPC. The NPI Number for Diane Broady Wilson is 1881605665 and holds a License No. 16692 (Texas).

The current practice location address for Diane Broady Wilson is 1411 E Amarillo Blvd, Amarillo, TX and can be reached out via phone at 806-351-7212 and via fax at 806-351-7284. You can also correspond with Diane Broady Wilson through the mailing address at 1411 E AMARILLO BLVD, AMARILLO, TX - 79107-5555 (mailing address contact number: 806-351-7212).

Location: 1411 E Amarillo Blvd, Amarillo, TX, 79107-5555
person
Provider Profile Details
NPI Number
1881605665
Provider Name
Diane Broady Wilson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1411 E Amarillo Blvd, Amarillo, TX, 79107-5555
Phone Number
806-351-7212
Fax Number
806-351-7284
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
144810202 05 TX
institution
Provider Business Practice Location Address Details
Address
1411 E Amarillo Blvd
City
State
Zip
79107-5555
Phone Number
806-351-7212
Fax Number
806-351-7284
person
Provider Business Mailing Address Details
Address
1411 E Amarillo Blvd
City
State
Zip
79107-5555
Phone Number
806-351-7212
Fax Number
806-351-7284
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
16692 (Texas)
Definition
Definition to come...
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