Pe Gerard Weideman, MS, MSW, LPCC, LADAC
NPI #1639285638 in Deming, New Mexico
Provider Information
- NPI Number
- 1639285638
- Entity Type
- Individual
- Name
- Pe Gerard Weideman, MS, MSW, LPCC, LADAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MS, MSW, LPCC, LADAC
- Enumeration Date
- Aug 22, 2006
- Last Updated
- Apr 18, 2009
Practice Location
- Address
- 501 W PINE ST
- City
- Deming
- State
- New Mexico
- ZIP Code
- 88030-3530
- Phone
- (505) 541-1695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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