Individual provider · Type 1 NPI

Michael Wayne Wallington, LPCC

Mental Health Counselor · Espanola, NM

NPI number 1154477404 Active

Practice location

904 E Fairview Ln # B
Espanola, NM 87532-2822

Call (505) 747-1991 Map

Fax (505) 753-6462

Mailing address

PO Box Kk
Taos, NM 87571-1570

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2331 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1154477404

Michael Wayne Wallington, LPCC's National Provider Identifier is 1154477404, issued on Jan 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Espanola, NM. The record was last updated on Jul 8, 2007.