Malott Counseling Services | |
1096 Mechem Dr Ste 212 Ruidoso NM 88345-7068 | |
(575) 973-0560 | |
(575) 315-2289 |
Full Name | Malott Counseling Services |
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Speciality | Counselor - Mental Health |
Location | 1096 Mechem Dr Ste 212, Ruidoso, New Mexico |
Authorized Official Name and Position | Rhonda K Malott (OFFICE MANAGER) |
Authorized Official Contact | 5759730292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Malott Counseling Services 1096 Mechem Dr Ste 212 Ruidoso NM 88345-7068 Ph: (575) 973-0560 | Malott Counseling Services 1096 Mechem Dr Ste 212 Ruidoso NM 88345-7068 Ph: (575) 973-0560 |
NPI Number | 1134629058 |
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Provider Enumeration Date | 02/16/2018 |
Last Update Date | 02/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134629058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0190751 (New Mexico) | Primary |
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