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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. DIANE BROADY WILSON, LPC

Active

MRS. DIANE BROADY WILSON, LPC is a Mental Health Counselor healthcare provider located in AMARILLO, Texas. NPI 1881605665 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · AMARILLO, TX

Registration Details

NPI Number
1881605665
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2006 (19.827530143212 yrs)
Last Updated
Dec 20, 2011
License
16692 (TX)

Practice Information

Address
1411 E AMARILLO BLVD
1411 AMARILLO BLVD., EAST, J.O. WYATT CLINIC
AMARILLO, TX, 791075555
Browse TX providers · Browse ZIP 79107
Phone
8063517212
Fax
8063517284
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Counselor
Additional Specialty
Professional Counselor

Other Mental Health Counselor Providers in AMARILLO, TX

Name Credential NPI
SAM R NORMAN, ED.D. LPC 1114919883
MS. SUSAN KAY FOX M.S.,L.P.C. 1700861416
MRS. SHELLEY J. WHITE L.P.C. 1780661470
MRS. PATRICIA KAY BRADFORD M.ED., LPC, MT-BC 1043229321
MR. IGNATIUS ROZARIO LPC 1023027117
MRS. CYNTHIA M PETERS LPC 1760575856
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.