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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEODORE JOHN WIARD, LPCC

Active Sole Proprietor

THEODORE JOHN WIARD, LPCC is a Mental Health Counselor healthcare provider located in TAOS, New Mexico. NPI 1790894053 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · TAOS, NM

Registration Details

NPI Number
1790894053
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2006 (19.919053749092 yrs)
Last Updated
May 21, 2024
Licenses
0109811 (NM)
0109811 (NM)
Sole Proprietor
Yes

Practice Information

Address
125 LA POSTA RD STE B15
TAOS, NM, 875717242
Browse NM providers · Browse ZIP 87571
Phone
5056900126
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in TAOS, NM

Name Credential NPI
RAMONA M. SILKWOOD LPCC 1316900483
MR. TIMOTHY M WEAVER 1386698785
BRUCE GROSSMAN LPCC 1588674857
MS. KATHERINE SHELDON DUFF LPC 1053426130
DR. CARYLE HOPKINS ZORUMSKI 1124137807
KIERSTEN ANN FIGURSKI LM, CPM 1023117827
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.