Theodore John Wiard, LPCC is a
Counselor - Mental Health based in Arroyo Hondo, New Mexico. Theodore John Wiard is licensed to practice in New Mexico (license number 0109811) and his current practice location is
07 Callecita, Arroyo Hondo, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 690-0126.
NPI number for Theodore John Wiard is 1790894053 and his current mailing address is 07 Callecita, Arroyo Hondo, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790894053.
Healthcare Provider's Profile
Full Name | Theodore John Wiard |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 07 Callecita, Arroyo Hondo, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790894053
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 08/26/2013
Medical Identifiers
Medical identifiers for Theodore John Wiard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790894053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 0109811 (New Mexico) | Primary |
101YP1600X | Counselor - Pastoral | 0109811 (New Mexico) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore John Wiard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theodore John Wiard, LPCC 07 Callecita, Arroyo Hondo, NM 87513 Ph: (505) 690-0126 | Theodore John Wiard, LPCC 07 Callecita, Arroyo Hondo, NM 87513 Ph: (505) 690-0126 |
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