Provider Demographics
NPI:1891928693
Name:ALFERO, CHARLENE ERIN (LADAC)
Entity type:Individual
Prefix:MRS
First Name:CHARLENE
Middle Name:ERIN
Last Name:ALFERO
Suffix:
Gender:
Credentials:LADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 DRIFTER CT
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-7501
Mailing Address - Country:US
Mailing Address - Phone:575-418-1589
Mailing Address - Fax:
Practice Address - Street 1:3 DRIFTER CT
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-7501
Practice Address - Country:US
Practice Address - Phone:575-418-1589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-26
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCAD0137271101YA0400X
NM113161101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)