Individual
WALTER SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
107 SUNSET LOOP, MESCALERO, NM 88340-0228
(575) 464-4432
(575) 464-4431
Mailing address
PO BOX 228, MESCALERO, NM 88340-0228
(575) 464-4432
(575) 464-4431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0175541
NM
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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