Individual provider · Type 1 NPI

Jesse Lee Baca, LPCC

Professional Counselor · Rio Rancho, NM

NPI number 1972151728 Active

Practice location

4210 Meadowlark Ln SE
Rio Rancho, NM 87124-1021

Mailing address

PO Box 158
Espanola, NM 87532-0158

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCTB-2024-0200 (NM)

Professional Counselor: Definition to come...

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About NPI 1972151728

Jesse Lee Baca, LPCC's National Provider Identifier is 1972151728, issued on Aug 26, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rio Rancho, NM. The record was last updated on May 5, 2025.