MICHAEL WAYNE WALLINGTON

ESPANOLA, NM
NPI1154477404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  2331)
Enumeration Date2007-01-26
Last Update Date2007-07-08
Business Address
-- MICHAEL WAYNE WALLINGTON LPCC
904 E FAIRVIEW LN # B
ESPANOLA, NM 87532-2822
Phone number: 505-747-1991
Mailing Address
-- MICHAEL WAYNE WALLINGTON LPCC
PO BOX KK
TAOS, NM 87571-1570
Phone number: 505-751-7037
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