Individual provider · Type 1 NPI

Jeannette Verna Baca, ED.D., LPCC

Professional Counselor · Albuquerque, NM

NPI number 1669018479 Active

Practice location

6612 Gulton Ct NE
Albuquerque, NM 87109-4407

Mailing address

16 Via Sole Dr
Algodones, NM 87001-8078

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCCMH0177521 (NM)

Professional Counselor: Definition to come...

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About NPI 1669018479

Jeannette Verna Baca, ED.D., LPCC's National Provider Identifier is 1669018479, issued on Nov 27, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Albuquerque, NM. The record was last updated on Nov 27, 2019.