Individual
JAMES PERALTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
406 GAYTON RIDGE DRIVE, MESCALERO, NM 88340-0324
(505) 464-1573
Mailing address
PO BOX 324, MESCALERO, NM 88340-0324
(505) 464-1573
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
12/21/2020
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