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General NPI Number Information
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NPI Number | 1720087190
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Entity Type | Individual
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Provider Name | CHARLOTTE ANN (CARTER) LEE LDCC, LADAC
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Gender | Female
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 555 OPPENHEIMER DR SUITE 207
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City | LOS ALAMOS
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State | NM
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Zip | 87544-2384
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Country | US
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Telephone | 505-662-9736
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Fax | 505-661-8088
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Provider Business Mailing Address
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Address Line | 555 OPPENHEIMER DR SUITE 297
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City | LOS ALAMOS
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State | NM
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Zip | 87544-2384
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Country | US
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Telephone | 505-662-9736
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Fax | 505-661-8088
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0064791
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 005706
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License Number State | NM
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