About

Charles L. Wallace is a Addiction Counselor in Farmington, New Mexico. He has over 11 years of experience. Contact Charles L. Wallace to request his Medicare information, payment methods he accepts, or to book an appointment.

Basic Data

Entity Type: Individual; Not Sole Proprietor

Gender

Male

Years in Practice

11 years

Healthcare Provider Taxonomy

  • Code: 101YA0400X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Counselor
  • Specialization: Addiction

Credentials

  • Licensed Alcohol and Drug Abuse Counselor (LADAC)

Licenses

Name License Number State
LADAC 3628 Verify NM

Practice Locations

2901 E. 20th Suite 104

Farmington, NM 87499

Phone Number: (505) 326-0241

Fax Number: (505) 325-8356

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Kenneth R. Nichols

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Katie Iraci

Licensed Clinical Social Worker (LCSW)

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Ryne Hemstreet

Licensed Master Social Worker (LMSW)

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Albert L. Gomez

Licensed Clinical Social Worker (LCSW)
Licensed Alcohol and Drug Abuse Counselor (LADAC)

Farmington, NM 87401
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Miranda B. Bekis

Licensed Substance Abuse Associate (LSAA)

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