Individual provider · Type 1 NPI

Amy Diede, LAC

Counselor · Barling, AR

NPI number 1497784607 Active

Practice location

10301 Mayo Dr
Barling, AR 72923-1660

Fax (479) 484-8142

Mailing address

4253 N Crossover Rd
Fayetteville, AR 72703-4593

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XA0210072 (AR)

Counselor: 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.

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About NPI 1497784607

Amy Diede, LAC's National Provider Identifier is 1497784607, issued on Jul 1, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Barling, AR. The record was last updated on Jul 8, 2007.