Amy Diede, LAC

NPI #1497784607 in Barling, Arkansas

Provider Information

NPI Number: 1497784607
Entity Type: Individual
Name: Amy Diede, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LAC
Enumeration Date: Jul 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 10301 MAYO DR
City: Barling
State: Arkansas
ZIP Code: 72923-1660
Phone: (479) 494-5760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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