MR. RONALD J MALOTT LADAC
NPI 1922064104
Counselor - Addiction (Substance Use Disorder) in Raton, NM
Active since April 25, 2006
About Mr. Ronald J Malott Ladac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RONALD J MALOTT LADAC (NPI 1922064104) is an individual addiction (substance use disorder) provider in Raton, New Mexico, licensed in New Mexico (3757) and active in the NPI registry since April 2006.
NPPES Registry Identity
NPI1922064104
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. RONALD J MALOTTCredential: LADAC
Location Address213 N. 2ND STREETRaton, NM 87740
Mailing AddressRr 1 Box 56aSpringer, NM 87747-9703 · (575) 483-2480
Phone(575) 445-9761
Fax(575) 445-2887
Sole ProprietorYes
Enumeration DateApril 25, 2006
Last NPPES UpdateJanuary 26, 2015
✔ NPI 1922064104 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NM · 3757
213 N. 2ND STREET, Raton, NM 87740
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922064104, enumerated as an "individual" on April 25, 2006.
The provider is located at 213 N. 2ND STREET RATON, NM 87740 and the phone number is (575) 445-9761.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
