Individual
MR. WILLIAM MIDDENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LPCC
Contact information
Practice address
1990 E LOHMAN AVE, SUITE 119, LAS CRUCES, NM 88001-3172
(575) 524-6859
(575) 524-4813
Mailing address
1990 E LOHMAN AVE, SUITE 119, LAS CRUCES, NM 88001-3172
(575) 524-6859
(575) 524-4813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0069601
NM
Other
Enumeration date
07/08/2006
Last updated
08/19/2009
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