Vincent Paul Baca SR., CPSW - Albuquerque, NM

Vincent Paul Baca SR., CPSW

Peer Specialist in Albuquerque, New Mexico

NPI 1275127581

Vincent Paul Baca SR. is a Peer Specialist based in Albuquerque, NM. Vincent Paul Baca SR. practices in Albuquerque, NM and has the professional credentials of CPSW. The NPI Number for Vincent Paul Baca SR. is 1275127581 and holds a License No. 979 (New Mexico).

The current practice location address for Vincent Paul Baca SR. is 9201 Montgomery Blvd Ne # 5, Albuquerque, NM and can be reached out via phone at 505-217-1717 and via fax at 505-213-0041.

Location: 9201 Montgomery Blvd Ne # 5, Albuquerque, NM, 87111-2468

NPI Number

1275127581

Provider Name

Vincent Paul Baca SR.

Credential

CPSW

Provider Entity Type

Individual

Gender

Male

Address

9201 Montgomery Blvd Ne # 5, Albuquerque, NM, 87111-2468

Phone Number

505-217-1717

Fax Number

505-213-0041

Provider Enumeration Date

02/26/2021

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
979	01	NM	CERTIFICATION

Address

9201 Montgomery Blvd Ne # 5

City

Albuquerque

State

New Mexico

Zip

87111-2468

Phone Number

505-217-1717

Fax Number

505-213-0041

Address

9201 Montgomery Blvd Ne # 5

City

Albuquerque

State

New Mexico

Zip

87111-2468

Phone Number

505-217-1717

Fax Number

505-213-0041

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

979 (New Mexico)

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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