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
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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