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Organization

COHERENT LEARNING SYSTEMS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARLTON W LEWIS M.A. LPCC LADAC (MANAGER)
(505) 259-9100
Entity
Organization

Contact information

Practice address
10601 LOMAS BLVD NE STE 108, ALBUQUERQUE, NM 87112-5462
(505) 259-9100
(505) 856-9600
Mailing address
10601 LOMAS BLVD NE STE 108, ALBUQUERQUE, NM 87112-5462
(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

Other identifiers
Code
Description
Identifier
Issuer
State
05
13570587
NM
Enumeration date
04/21/2010
Last updated
04/21/2010
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