Individual provider · Type 1 NPI

Theodore John Wiard, LPCC

Mental Health Counselor · Taos, NM

NPI number 1790894053 Active

Practice location

125 La Posta Rd Ste B15
Taos, NM 87571-7242

Call (505) 690-0126 Map

Mailing address

412 Sipapu St
Taos, NM 87571-6498

Other practice locations

  • 07 Callecita, Arroyo Hondo, NM 87513 · (505) 690-0126

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor 101YP1600X0109811 (NM)
Mental Health Counselor Primary 101YM0800X0109811 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1790894053

Theodore John Wiard, LPCC's National Provider Identifier is 1790894053, issued on Aug 30, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Taos, NM. The record was last updated on May 21, 2024.