Michael Wayne Wallington, LPCC
NPI #1154477404 in Espanola, New Mexico
Provider Information
- NPI Number
- 1154477404
- Entity Type
- Individual
- Name
- Michael Wayne Wallington, LPCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPCC
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 904 E FAIRVIEW LN # B
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-2822
- Phone
- (505) 747-1991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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