Individual
HEIDI ELIZABETH WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 COORS BYP NW, ALBUQUERQUE, NM 87114-4040
(505) 677-0988
Mailing address
1119 CAMINO DE LA JARA, EL PRADO, NM 87529-6040
(505) 795-4413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0188881
NM
104100000X
Social Worker
Primary
SWB-2026-0571
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/08/2009
Last updated
06/30/2026
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