Individual provider · Type 1 NPI

Theresa Marie Bauer, LPC, CAC III

Addiction (Substance Use Disorder) Counselor · La Junta, CO

NPI number 1962592253 Active

Practice location

302 Barnes Ave
La Junta, CO 81050-1329

Fax (719) 384-8411

Mailing address

32849 County Road 10
Manzanola, CO 81058-9711

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3846 (CO)
Mental Health Counselor 101YM0800X1562 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1962592253

Theresa Marie Bauer, LPC, CAC III's National Provider Identifier is 1962592253, issued on Oct 15, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Junta, CO. The record was last updated on Sep 11, 2025.