Individual
MR. TERRY W. WASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1400 SUDDERTH DR., RUIDOSO, NM 88345
(575) 630-0571
(575) 630-0574
Mailing address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 647-2800
(575) 647-2898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1059
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
01/28/2009
Last updated
02/18/2015
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