Individual
MR. ALTON GORMAN LIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2844 E MAIN ST STE 106, FARMINGTON, NM 87402-7628
(928) 613-4521
Mailing address
2844 E MAIN ST STE 106, FARMINGTON, NM 87402-7628
(928) 613-4521
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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