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PE GERARD WEIDEMAN MS MSW LPCC LADAC NPI 1639285638

NPI Profile

NPI: 1639285638

Provider Name: PE GERARD WEIDEMAN, MS, MSW, LPCC, LADAC

Classification: Counselor - 101YA0400X

Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
501 W PINE ST
DEMING, NM
ZIP 88030

Phone: (505) 541-1695

Pe Gerard Weideman, MS, MSW, LPCC, LADAC is an addiction counselor in Deming, NM. Pe Gerard Weideman, MS, MSW, LPCC, LADAC NPI is 1639285638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 W PINE ST
DEMING, NM
ZIP 88030-530
Phone: (505) 541-1695
Fax: (505) 647-3033

The enumeration date for this NPI number is 8/22/2006 and was last updated on 4/18/2009.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 101YA0400X Counselor Addiction (Substance Use Disorder) 005438 NEW MEXICO No
2 101YM0800X Counselor Mental Health 005849 NEW MEXICO Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 7/13/2015