Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEDEDIAH WALLS, LMHC, ATR-P
ActiveDR. JEDEDIAH WALLS, LMHC, ATR-P is a Mental Health Counselor healthcare provider located in LAS CRUCES, New Mexico. NPI 1174272397 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · LAS CRUCES, NM
Registration Details
- NPI Number
- 1174272397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2022 (4.4134599771871 yrs)
- Last Updated
- Mar 23, 2022
- License
-
CTB-2022-0028 (NM)
Practice Information
- Address
-
133 WYATT DR STE 3LAS CRUCES, NM, 880052962Browse NM providers · Browse ZIP 88005
- Phone
- 5755269878
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in LAS CRUCES, NM
| Name | Credential | NPI |
|---|---|---|
| JEANNE PROVENCIO | LPCC | 1629061783 |
| MR. LOUIE CARRERAS ATENCIO | LPCC, LADAC | 1588618649 |
| MRS. PEARL ANN TRUJILLO MACDONALD | LPCC | 1124056833 |
| MR. WILLIAM MIDDENDORF | MA LPCC | 1841223336 |
| DR. NORBERT WILLIAM GASKINS | PH.D. LPCC | 1225045347 |
| MR. EDWARD G. KRUIS | CMHC | 1548279409 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.