Doctor Name: | MR. JAMES ASHLEY WARD |
NPI Number: | 1295001071 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC |
License Number: | 0147031 |
Business Practice Address: | 101 Letton Dr Raton, NM - 877404366 |
Business Phone Number: | 5754453557 |
Business Fax Number: | |
Mailing Address: | 2551 Coors Blvd Nw, ALBUQUERQUE |
State: | NM |
Postal Code: | 871201213 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/27/2012 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0147031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |