Wallington, Michael Wayne
Wallington, Michael Wayne is an individual health care provider with primary practice located at 904 E Fairview Ln # B , Espanola NM 87532-2822. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wallington, Michael Wayne can be contacted via phone (505) 747-1991.Contact Information
Primary practice address
904 E Fairview Ln # B
Espanola NM 87532-2822
Phone: (505) 747-1991
Fax: (505) 753-6462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2331 | New Mexico |
Profile Details
| NPI number | 1154477404 |
|---|---|
| LBN Legal business name | Wallington, Michael Wayne |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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