Alta Mitchell
Alta Mitchell is an Addiction (Substance Use Disorder) Counselor in Gallup, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.
- Licensed in
- NM
- In the registry since
- 2018
Practice location Address checks out
216 W Maloney AveGallup, NM 87301-5214
Phone: (505) 879-5656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 0071741 (NM) |
|---|
Record details
| NPI number | 1184124133 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 16, 2018 |
| Last updated in NPPES | February 16, 2018 |
| Mailing address | Po Box 251, Fort Wingate, NM 87316-0251 |
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