Individual provider · Type 1 NPI
Ronald J. Malott, LADAC
Addiction (Substance Use Disorder) Counselor · Raton, NM
NPI number
1922064104
Active
Practice location
213 N. 2nd Street
Raton, NM 87740
Fax (575) 445-2887
Mailing address
RR 1 Box 56A
Springer, NM 87747-9703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 3757 (NM) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Raton
About NPI 1922064104
Ronald J. Malott, LADAC's National Provider Identifier is 1922064104, issued on Apr 25, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Raton, NM. The record was last updated on Jan 26, 2015.