Individual
DR. JEDEDIAH WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, ATR-P
Contact information
Practice address
133 WYATT DR STE 3, LAS CRUCES, NM 88005-2962
(575) 526-9878
Mailing address
1304 GREENWOOD LN, ALAMOGORDO, NM 88310-5742
(574) 310-3789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2022-0028
NM
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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