Individual
MR. CARLTON W. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. LPCC LADAC
Contact information
Practice address
10601 LOMAS BLVD NE STE 108, ALBUQUERQUE, NM 87112-5462
(505) 259-9100
Mailing address
4526 BROOKWOOD ST NE, ALBUQUERQUE, NM 87109-2755
(505) 259-9100
(505) 856-9600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0092471
NM
101YM0800X
Mental Health Counselor
Primary
0122291
NM
Other
Enumeration date
06/12/2007
Last updated
11/07/2025
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