Theodore John Wiard, LPCC
Theodore John Wiard, LPCC is a Mental Health Counselor in Taos, New Mexico. Qualified in 2005, 21 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 21
- Licensed in
- NM
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- LPCC — Licensed Professional Clinical Counselor
- The title some states use for a licensed clinical counsellor.
Practice location Address checks out
125 La Posta Rd Ste B15Taos, NM 87571-7242
Phone: (505) 690-0126
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 07 Callecita, Arroyo Hondo, NM 87513 — (505) 690-0126
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 0109811 (NM) |
|---|---|
| Pastoral Counselor | Taxonomy 101YP1600X · Licence 0109811 (NM) |
Record details
| NPI number | 1790894053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPCC |
| Sole proprietor | Yes |
| NPI enumerated | August 30, 2006 |
| Last updated in NPPES | May 21, 2024 |
| Certification date | May 21, 2024 |
| Mailing address | 412 Sipapu St, Taos, NM 87571-6498 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |