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Individual
JOSHUA BACA
Active
Individual
JOSHUA BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MPA, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
T-CTL0215181
NM
Other
Enumeration date
12/11/2015
Last updated
01/22/2021
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