person
Patricia A Baca
Addiction (Substance Use Disorder) Counselor in Las Vegas, New Mexico
NPI 1902503931

Patricia A Baca is an Addiction (Substance Use Disorder) Counselor based in Taos, NM and is specialized in Addiction (Substance Use Disorder). Patricia A Baca practices in Las Vegas, NM. The NPI Number for Patricia A Baca is 1902503931 and holds a License No. (New Mexico).

The current practice location address for Patricia A Baca is 2301 7Th St Ste A, Las Vegas, NM and can be reached out via phone at 505-454-9611 and via fax at 505-454-8079. You can also correspond with Patricia A Baca through the mailing address at 105 PASEO DEL CANON W STE A, TAOS, NM - 87571-6943 (mailing address contact number: 575-737-5533).

Location: 2301 7Th St Ste A, Las Vegas, NM, 87571-6943
person
Provider Profile Details
NPI Number
1902503931
Provider Name
Patricia A Baca
Credential
Provider Entity Type
Individual
Gender
Female
Address
2301 7Th St Ste A, Las Vegas, NM, 87571-6943
Phone Number
505-454-9611
Fax Number
505-454-8079
Provider Enumeration Date
02/09/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83774556 05 NM
institution
Provider Business Practice Location Address Details
Address
2301 7Th St Ste A
City
State
Zip
87701-4966
Phone Number
505-454-9611
Fax Number
505-454-8079
person
Provider Business Mailing Address Details
Address
105 Paseo Del Canon W Ste A
City
State
Zip
87571-6943
Phone Number
575-737-5533
Fax Number
575-737-5534
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(New Mexico)
Definition
Definition to come...
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