Michael (Mike) Wallington's National Provider Identifier (NPI) Details
Michael (Mike) Wallington, LPCC
NPI: 1154477404
Enumeration Date: 2007-01-26
Last updated: 2007-07-08
Sole Proprietor: NO
Status: active
Postal Address: PO BOX KK, TAOS, NM
Phone: 505-751-7037
Primary Practice Address: 904 E FAIRVIEW LN # B, ESPANOLA, NM
Practice's phone: 505-747-1991