person
Theodore John Wiard, LPCC
Mental Health Counselor in Taos, New Mexico
NPI 1790894053

Theodore John Wiard is a Mental Health Counselor based in Taos, NM and is specialized in Mental Health. Theodore John Wiard practices in Taos, NM and has the professional credentials of LPCC. The NPI Number for Theodore John Wiard is 1790894053 and holds a License No. 0109811 (New Mexico).

The current practice location address for Theodore John Wiard is 125 La Posta Rd Ste B15, Taos, NM and can be reached out via phone at 505-690-0126.

Location: 125 La Posta Rd Ste B15, Taos, NM, 87571-6498
person
Provider Profile Details
NPI Number
1790894053
Provider Name
Theodore John Wiard
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
125 La Posta Rd Ste B15, Taos, NM, 87571-6498
Phone Number
505-690-0126
Fax Number
Provider Enumeration Date
08/30/2006
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
125 La Posta Rd Ste B15
City
State
Zip
87571-7242
Phone Number
505-690-0126
Fax Number
person
Provider Business Mailing Address Details
Address
125 La Posta Rd Ste B15
City
State
Zip
87571-7242
Phone Number
505-690-0126
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0109811 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
0109811 (New Mexico)
Definition
Definition to come...
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