Individual
AMANDA WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(800) 575-7223
(606) 436-5797
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(800) 575-7223
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
287211
KY
101YP2500X
Professional Counselor
287221
KY
101YP2500X
Professional Counselor
A14027
NC
Other
Enumeration date
08/29/2018
Last updated
02/14/2024
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