Alta Mitchell
NPI #1184124133 in Gallup, New Mexico
Provider Information
- NPI Number
- 1184124133
- Entity Type
- Individual
- Name
- Alta Mitchell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Feb 16, 2018
- Last Updated
- Feb 16, 2018
Practice Location
- Address
- 216 W MALONEY AVE
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5214
- Phone
- (505) 879-5656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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