person
Edward Baca, LPCC
Mental Health Counselor in Las Vegas, New Mexico
NPI 1871957548

Edward Baca is a Mental Health Counselor based in Las Vegas, NM and is specialized in Mental Health. Edward Baca practices in Las Vegas, NM and has the professional credentials of LPCC. The NPI Number for Edward Baca is 1871957548 and holds a License No. 0149351 (New Mexico).

The current practice location address for Edward Baca is 700 Friedman Ave, Las Vegas, NM and can be reached out via phone at 505-454-5120 and via fax at 505-454-0397.

Location: 700 Friedman Ave, Las Vegas, NM, 87701-4231
person
Provider Profile Details
NPI Number
1871957548
Provider Name
Edward Baca
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
700 Friedman Ave, Las Vegas, NM, 87701-4231
Phone Number
505-454-5120
Fax Number
505-454-0397
Provider Enumeration Date
04/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
700 Friedman Ave
City
State
Zip
87701-4231
Phone Number
505-454-5120
Fax Number
505-454-0397
person
Provider Business Mailing Address Details
Address
700 Friedman Ave
City
State
Zip
87701-4231
Phone Number
505-454-5120
Fax Number
505-454-0397
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0149351 (New Mexico)
Definition
Definition to come...
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