T Wiard LLC
NPI #1942637517 in Taos, New Mexico
Provider Information
- NPI Number
- 1942637517
- Entity Type
- Organization
- Organization Name
- T Wiard LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Sep 27, 2013
- Last Updated
- Jun 6, 2024
Practice Location
- Address
- 125 LA POSTA RD STE B15
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-7242
- Phone
- (505) 690-0126
Authorized Official
- Name
- MR. THEODORE JOHN WIARD, LPCC
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (505) 690-0126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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