Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Jon Wallace, CPSW

Individual provider Peer Specialist · NPI 1659238392

Michael Jon Wallace, CPSW is a Peer Specialist in Las Cruces, New Mexico. Licensed in New Mexico. Registered with an NPI since 2026.

Licensed in
NM
In the registry since
2026

Practice location Address checks out

760 N Motel Blvd
Las Cruces, NM 88007-4169
Phone: (575) 527-7975
Fax: (575) 674-2861
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (NM)

Record details

NPI number1659238392
Entity typeIndividual (Type 1)
GenderMale
Credentials CPSW
Sole proprietorNo
NPI enumeratedJanuary 6, 2026
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address385 Calle De Alegra Bldg A, Las Cruces, NM 88005-3423

Other providers in Las Cruces