Organization
CLEARWATER COOPERATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CLEARWATER LADAC, LMHC (OWNER/COUNSELOR)
(505) 217-6834
Entity
Organization
Contact information
Practice address
1440 CALLE CIELO VIS, BERNALILLO, NM 87004-9147
(505) 278-0037
Mailing address
1440 CALLE CIELO VIS, BERNALILLO, NM 87004-9147
(505) 278-0037
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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