Individual provider · Type 1 NPI

Juanita C. Baca, LPC

Mental Health Counselor · Albuquerque, NM

NPI number 1104914852 Active

Practice location

7027 Montgomery Blvd NE, Ste F
Albuquerque, NM 87109-1589

Call (505) 880-0100 Map

Fax (505) 880-0102

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X74481 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1104914852

Juanita C. Baca, LPC's National Provider Identifier is 1104914852, issued on Oct 10, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.