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Carlton Deshawn Lewis
Mental Health Counselor in Clovis, New Mexico
NPI 1609062256

Carlton Deshawn Lewis is a Mental Health Counselor based in Clovis, NM and is specialized in Mental Health. Carlton Deshawn Lewis practices in Clovis, NM. The NPI Number for Carlton Deshawn Lewis is 1609062256 and holds a License No. 0106271 (New Mexico).

The current practice location address for Carlton Deshawn Lewis is 414 Mitchell St, Clovis, NM and can be reached out via phone at 505-762-9000.

Location: 414 Mitchell St, Clovis, NM, 88101-7354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609062256
Provider Name
Carlton Deshawn Lewis
Credential
Provider Entity Type
Individual
Gender
Male
Address
414 Mitchell St, Clovis, NM, 88101-7354
Phone Number
505-762-9000
Fax Number
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
414 Mitchell St
City
Clovis
State
New Mexico
Zip
88101-7354
Phone Number
505-762-9000
Fax Number
person
Provider Business Mailing Address Details
Address
414 Mitchell St
City
Clovis
State
New Mexico
Zip
88101-7354
Phone Number
505-762-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0106271 (New Mexico)
Definition
Definition to come...
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