IndividualActive
Alta Mitchell
NPI 1184124133 · Addiction (Substance Use Disorder) Counselor · Gallup, NM
Provider details
- NPI number
- 1184124133
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0071741 (NM)
Mailing address
Po Box 251
Fort Wingate, NM 87316-0251
Registry dates
- Enumerated
- 2018-02-16
- Last updated
- 2018-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.