| Mr Ronald J Malott, LADAC | |
|
213 N. 2nd Street, Raton, NM 87740 | |
| (575) 445-9761 | |
| (575) 445-2887 |
| Full Name | Mr Ronald J Malott |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 213 N. 2nd Street, Raton, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922064104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3757 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ronald J Malott, LADAC Rr 1 Box 56a, Springer, NM 87747-9703 Ph: (575) 483-2480 | Mr Ronald J Malott, LADAC 213 N. 2nd Street, Raton, NM 87740 Ph: (575) 445-9761 |
Sara J Garcia, BMS PROG MAN Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 N 2nd St, Raton, NM 87740 Phone: 575-445-3557 | |
Rudy A Lucero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 N 2nd St, Raton, NM 87740 Phone: 575-445-3557 Fax: 575-445-2409 | |
Jude Anaya, Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 S 4th St, Raton, NM 87740 Phone: 575-445-3557 | |
David Segura, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 4th Ave, Raton, NM 87740 Phone: 575-445-4072 | |
Danette J Silva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 N 2nd St, Raton, NM 87740 Phone: 575-445-3557 Fax: 575-445-2409 | |
Isidro Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1273 S 2nd St, Raton, NM 87740 Phone: 575-445-3557 | |
Tamar Rubin, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 4th Ave, Raton, NM 87740 Phone: 575-758-5857 Fax: 575-758-5860 |