person
Michael Wayne Wallington, LPCC
Mental Health Counselor in Espanola, New Mexico
NPI 1154477404

Michael Wayne Wallington is a Mental Health Counselor based in Taos, NM and is specialized in Mental Health. Michael Wayne Wallington practices in Espanola, NM and has the professional credentials of LPCC. The NPI Number for Michael Wayne Wallington is 1154477404 and holds a License No. 2331 (New Mexico).

The current practice location address for Michael Wayne Wallington is 904 E Fairview Ln # B, Espanola, NM and can be reached out via phone at 505-747-1991 and via fax at 505-753-6462.

Location: 904 E Fairview Ln # B, Espanola, NM, 87571-1570
person
Provider Profile Details
NPI Number
1154477404
Provider Name
Michael Wayne Wallington
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
904 E Fairview Ln # B, Espanola, NM, 87571-1570
Phone Number
505-747-1991
Fax Number
505-753-6462
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
904 E Fairview Ln # B
City
State
Zip
87532-2822
Phone Number
505-747-1991
Fax Number
505-753-6462
person
Provider Business Mailing Address Details
Address
904 E Fairview Ln # B
City
State
Zip
87532-2822
Phone Number
505-747-1991
Fax Number
505-753-6462
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2331 (New Mexico)
Definition
Definition to come...
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