ALTA MITCHELL

GALLUP, NM
NPI1184124133
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  0071741)
Enumeration Date2018-02-16
Last Update Date2018-02-16
Business Address
ALTA MITCHELL
216 W MALONEY AVE
GALLUP, NM 87301-5214
Phone number: 505-879-5656
Mailing Address
ALTA MITCHELL
PO BOX 251
FORT WINGATE, NM 87316-0251
Phone number: 505-879-5656
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