person
Charles Baca, LADAC
Addiction (Substance Use Disorder) Counselor in Santa Fe, New Mexico
NPI 1659563609

Charles Baca is an Addiction (Substance Use Disorder) Counselor based in Grants, NM and is specialized in Addiction (Substance Use Disorder). Charles Baca practices in Santa Fe, NM and has the professional credentials of LADAC. The NPI Number for Charles Baca is 1659563609 and holds a License No. 0064141 (New Mexico).

The current practice location address for Charles Baca is 1441 S Saint Francis Dr, Santa Fe, NM and can be reached out via phone at 505-982-2271 and via fax at 505-982-0620.

Location: 1441 S Saint Francis Dr, Santa Fe, NM, 87020-2908
person
Provider Profile Details
NPI Number
1659563609
Provider Name
Charles Baca
Credential
LADAC
Provider Entity Type
Individual
Gender
Male
Address
1441 S Saint Francis Dr, Santa Fe, NM, 87020-2908
Phone Number
505-982-2271
Fax Number
505-982-0620
Provider Enumeration Date
08/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1441 S Saint Francis Dr
City
State
Zip
87505-4037
Phone Number
505-982-2271
Fax Number
505-982-0620
person
Provider Business Mailing Address Details
Address
1441 S Saint Francis Dr
City
State
Zip
87505-4037
Phone Number
505-982-2271
Fax Number
505-982-0620
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0064141 (New Mexico)
Definition
Definition to come...
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