Individual
CLINTON CHARLES STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW, LSAA
Contact information
Practice address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1538
(505) 243-5342
Mailing address
1 DRIFTER CT, LOS LUNAS, NM 87031-7501
(505) 250-8116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0175251
NM
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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