person
William J Baca JR., CPSW
Peer Specialist in Albuquerque, New Mexico
NPI 1568106342

William J Baca JR. is a Peer Specialist based in Albuquerque, NM. William J Baca JR. practices in Albuquerque, NM and has the professional credentials of CPSW. The NPI Number for William J Baca JR. is 1568106342 and holds a License No. 1344 (New Mexico).

The current practice location address for William J Baca JR. is 320 Osuna Rd Ne Ste H4, Albuquerque, NM and can be reached out via phone at 505-345-2778 and via fax at 505-345-2878.

Location: 320 Osuna Rd Ne Ste H4, Albuquerque, NM, 87114-4823
person
Provider Profile Details
NPI Number
1568106342
Provider Name
William J Baca JR.
Credential
CPSW
Provider Entity Type
Individual
Gender
Male
Address
320 Osuna Rd Ne Ste H4, Albuquerque, NM, 87114-4823
Phone Number
505-345-2778
Fax Number
505-345-2878
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
320 Osuna Rd Ne Ste H4
City
State
Zip
87107-5955
Phone Number
505-345-2778
Fax Number
505-345-2878
person
Provider Business Mailing Address Details
Address
320 Osuna Rd Ne Ste H4
City
State
Zip
87107-5955
Phone Number
505-345-2778
Fax Number
505-345-2878
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
1344 (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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