IndividualActive
Amanda Dediego, PHD, LPC, NCC, BC-TM
NPI 1992121677 · Professional Counselor · Casper, WY
Provider details
- NPI number
- 1992121677
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- PHD, LPC, NCC, BC-TM
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
123 W 1st St Ste 208a
Casper, WY 82601-2480
Phone: (307) 234-7419
Approximate (ZIP-level) locationGet directions
Mailing address
123 W 1st St Ste 208a
Casper, WY 82601-2480
Additional practice locations (1)
- 813 S Northshore Dr Ste 105Knoxville, TN 37919-7594Phone: (615) 688-8244
Registry dates
- Enumerated
- 2014-03-05
- Last updated
- 2022-06-28
- Certified
- 2022-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.