person
Pe Gerard Weideman, MS,MSW,LPCC,LADAC
Mental Health Counselor in Deming, New Mexico
NPI 1639285638

Pe Gerard Weideman is a Mental Health Counselor based in Mesilla, NM and is specialized in Mental Health. Pe Gerard Weideman practices in Deming, NM and has the professional credentials of MS,MSW,LPCC,LADAC. The NPI Number for Pe Gerard Weideman is 1639285638 and holds a License No. 005438 (New Mexico).

The current practice location address for Pe Gerard Weideman is 501 W Pine St, Deming, NM and can be reached out via phone at 505-541-1695 and via fax at 505-647-3033. You can also correspond with Pe Gerard Weideman through the mailing address at PO BOX 1747, MESILLA, NM - 88046-1747 (mailing address contact number: 505-541-1695).

Location: 501 W Pine St, Deming, NM, 88046-1747
person
Provider Profile Details
NPI Number
1639285638
Provider Name
Pe Gerard Weideman
Credential
MS,MSW,LPCC,LADAC
Provider Entity Type
Individual
Gender
Male
Address
501 W Pine St, Deming, NM, 88046-1747
Phone Number
505-541-1695
Fax Number
505-647-3033
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A9813 05 NM
institution
Provider Business Practice Location Address Details
Address
501 W Pine St
City
State
Zip
88030-3530
Phone Number
505-541-1695
Fax Number
505-647-3033
person
Provider Business Mailing Address Details
Address
501 W Pine St
City
State
Zip
88030-3530
Phone Number
505-541-1695
Fax Number
505-647-3033
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
005849 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
005438 (New Mexico)
Definition
Definition to come...
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