NPI 1013702034

Amanda Wild

Practitioner Professional Counselor Glendale, AZ

Practice location

Address: 18001 N 79th Ave STE B20, Glendale, AZ 85308-8390
Phone: (480) 979-6200

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

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Registry record

NPI: 1013702034
Entity type: Individual
Sex (as registered): X
NPI issued: 10 Apr 2025
Record last updated: 10 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.