RONALD J MALOTT

RATON, NM
NPI1922064104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  3757)
Enumeration Date2006-04-25
Last Update Date2015-01-26
Business Address
Mr. RONALD J MALOTT LADAC
213 N. 2ND STREET
RATON, NM 87740
Phone number: 575-445-9761
Mailing Address
Mr. RONALD J MALOTT LADAC
RR 1 BOX 56A
SPRINGER, NM 87747-9703
Phone number: 575-483-2480