Wilde, Winston

Wilde, Winston is an sole proprietor health care provider with primary practice located at 134 Montano Ln , Taos NM 87571-6495. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wilde, Winston can be contacted via phone (323) 691-4071.

Contact Information

Primary practice address
134 Montano Ln Taos NM 87571-6495
Phone: (323) 691-4071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 39060 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X CMF0184921 New Mexico

Profile Details

NPI number 1760804744
LBN Legal business name Wilde, Winston
Credentials MFC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2014
Last updated Feb 22nd, 2023 - about 2 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.

Request for update

Popular Providers