Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Clearwater, LADAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417313578

Amanda Clearwater, LADAC is an Addiction (Substance Use Disorder) Counselor in Aztec, New Mexico. Licensed in New Mexico. Registered with an NPI since 2016.

Licensed in
NM
In the registry since
2016

Practice location Address checks out

663 Hampton Canyon Rd
Aztec, NM 87410-1007
Phone: (505) 217-6834
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 0178391 (NM)

Record details

NPI number1417313578
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADAC
Sole proprietorNo
NPI enumeratedJanuary 5, 2016
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

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