Individual
WADE R. CARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC
Contact information
Practice address
5400 GIBSON BLVD SE STE 13, ALBUQUERQUE, NM 87108-5182
(505) 383-1165
(505) 383-1191
Mailing address
5400 GIBSON BLVD SE STE 13, ALBUQUERQUE, NM 87108-5182
(505) 383-1165
(505) 383-1191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2004
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
680108111
MI
104100000X
Social Worker
SWB-2022-0852
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2022-0852
NM
Other
Enumeration date
01/23/2009
Last updated
05/05/2023
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