| Dr Jedediah Walls, LMHC, ATR-P | |
| 
					133 Wyatt Dr Ste 3, Las Cruces, NM 88005-2962  | |
| (575) 526-9878 | |
| Not Available | 
| Full Name | Dr Jedediah Walls | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 133 Wyatt Dr Ste 3, Las Cruces, New Mexico | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174272397 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CTB-2022-0028 (New Mexico) | Primary | 
| Entity Name | Counseling Las Cruces Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194107060 PECOS PAC ID: 8820385271 Enrollment ID: O20160928001547  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jedediah Walls, LMHC, ATR-P 1304 Greenwood Ln, Alamogordo, NM 88310-5742 Ph: (574) 310-3789  | Dr Jedediah Walls, LMHC, ATR-P 133 Wyatt Dr Ste 3, Las Cruces, NM 88005-2962 Ph: (575) 526-9878  | 
Dr. Kourtney T. Vaillancourt, PH.D, LMFT, LADAC Counselor Medicare: Medicare Enrolled Practice Location: 619 N Alameda Blvd, Las Cruces, NM 88005 Phone: 575-405-7146 Fax: 575-405-5446  | |
Mrs. Nicole S Harvey-navarro, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 350 El Molino Blvd, Las Cruces, NM 88005 Phone: 575-323-8900 Fax: 575-267-6228  | |
Kaitlyn Mead, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 W Griggs Ave, Las Cruces, NM 88001 Phone: 575-647-2800 Fax: 575-647-2898  | |
Debra Lynn Peterson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 W Griggs Ave, Las Cruces, NM 88005 Phone: 575-525-9221  | |
Samiah Rowshan Rahman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 S Triviz Dr Ste G, Las Cruces, NM 88001 Phone: 575-449-3554  | |
Ms. Joyce Ann Eller, M.ED., LED Counselor Medicare: Not Enrolled in Medicare Practice Location: 3036 Hillrise Dr, Las Cruces, NM 88011 Phone: 505-496-6943  | |
Sarah Dabbs,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2205 S Main St, Las Cruces, NM 88005 Phone: 575-386-4184  |