Individual provider · Type 1 NPI

Diane Broady Wilson, LPC

Mental Health Counselor · Amarillo, TX

NPI number 1881605665 Active

Practice location

1411 E Amarillo Blvd, 1411 Amarillo Blvd., East, J.o. Wyatt Clinic
Amarillo, TX 79107-5555

Fax (806) 351-7284

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X16692 (TX)
Counselor 101Y00000XNone listed
Professional Counselor 101YP2500XNone listed

Mental Health Counselor: Definition to come...

24 other providers at this address

Other mental health counselor providers in Amarillo

See all in Amarillo →

About NPI 1881605665

Diane Broady Wilson, LPC's National Provider Identifier is 1881605665, issued on Aug 10, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Amarillo, TX. The record was last updated on Dec 20, 2011.