Individual
MR. DEREK A WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LMHC
Contact information
Practice address
803 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3096
(505) 243-2223
Mailing address
803 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3096
(505) 243-2223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0128201
NM
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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