Wiard, Theodore John

Wiard, Theodore John is an sole proprietor health care provider with primary practice located at 125 La Posta Rd Ste B15 , Taos NM 87571-7242. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wiard, Theodore John can be contacted via phone (505) 690-0126.

Contact Information

Primary practice address
125 La Posta Rd Ste B15 Taos NM 87571-7242
Phone: (505) 690-0126
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 0109811 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0109811 New Mexico

Profile Details

NPI number 1790894053
LBN Legal business name Wiard, Theodore John
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated May 21st, 2024 - about last year

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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