Individual
RYDER WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
616 12TH ST NW, ALBUQUERQUE, NM 87102-1824
(505) 716-5097
Mailing address
616 12TH ST NW, ALBUQUERQUE, NM 87102-1824
(505) 716-5097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0208941
NM
Other
Enumeration date
11/18/2019
Last updated
06/03/2020
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