Individual provider · Type 1 NPI

Amanda Wilder, LCMHC

Mental Health Counselor · Hazard, KY

NPI number 1316429129 Active

Practice location

115 Rockwood Ln
Hazard, KY 41701-9415

Fax (606) 436-5797

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X287221 (KY)
Professional Counselor 101YP2500XA14027 (NC)
Mental Health Counselor Primary 101YM0800X287211 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1316429129

Amanda Wilder, LCMHC's National Provider Identifier is 1316429129, issued on Aug 29, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hazard, KY. The record was last updated on Feb 14, 2024.