Individual
MICHAEL WAYNE GIDDINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
1528 FIVE POINTS RD SW, ALBUQUERQUE, NM 87105-3014
(505) 242-6919
(505) 242-6929
Mailing address
606 CALLE DON DEMETRIO NE, LOS LUNAS, NM 87031-9360
(505) 865-6748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
005486
NM
Other
Enumeration date
04/12/2007
Last updated
12/07/2009
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