person
Lori Kim C'de Baca
Mental Health Counselor in Grants Pass, Oregon
NPI 1780853978

Lori Kim C'de Baca is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Lori Kim C'de Baca practices in Grants Pass, OR. The NPI Number for Lori Kim C'de Baca is 1780853978 and holds a License No. M - 05986 (Oregon).

The current practice location address for Lori Kim C'de Baca is 1215 Sw G St, Grants Pass, OR and can be reached out via phone at 541-476-2373.

Location: 1215 Sw G St, Grants Pass, OR, 97526-2544
person
Provider Profile Details
NPI Number
1780853978
Provider Name
Lori Kim C'de Baca
Credential
Provider Entity Type
Individual
Gender
Female
Address
1215 Sw G St, Grants Pass, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
Provider Enumeration Date
02/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1215 Sw G St
City
State
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
person
Provider Business Mailing Address Details
Address
1215 Sw G St
City
State
Zip
97526-2544
Phone Number
541-476-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
M - 05986 (New Mexico)
Definition
Definition to come...
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