Individual provider · Type 1 NPI

Meredith Baca, LPCC, LPC

Mental Health Counselor · Espanola, NM

NPI number 1306242474 Active

Practice location

360 Fog Road
Espanola, NM 87532

Call (210) 862-1037 Map

Mailing address

PO Box 1045
Ohkay Owingeh, NM 87566-1045

Other practice locations

  • 9503 Powhatan Dr Apt 404, San Antonio, TX 78230-3119 · (210) 593-8552

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X68716 (TX)
Mental Health Counselor Primary 101YM0800XCCMH200151 (NM)

Mental Health Counselor: Definition to come...

2 other providers at this address

Other mental health counselor providers in Espanola

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About NPI 1306242474

Meredith Baca, LPCC, LPC's National Provider Identifier is 1306242474, issued on Nov 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Espanola, NM. The record was last updated on Nov 9, 2018.