DR. Amanda Dediego, PHD, LPC, NCC, BC-TM

NPI #1992121677 in Casper, Wyoming

Provider Information

NPI Number: 1992121677
Entity Type: Individual
Name: DR. Amanda Dediego, PHD, LPC, NCC, BC-TM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: PHD, LPC, NCC, BC-TM
Enumeration Date: Mar 5, 2014
Last Updated: Jun 28, 2022

Practice Location

Address: 123 W 1ST ST STE 208A
City: Casper
State: Wyoming
ZIP Code: 82601-2480
Phone: (307) 234-7419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Professional — Professional	101YP2500X

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