Individual
BRIANA BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 3RD STREET, SPRINGER, NM 87747
(505) 398-1567
(575) 383-3337
Mailing address
PO BOX 446, SPRINGER, NM 87747-0446
(505) 398-1567
(575) 383-3337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/03/2021
Last updated
06/28/2022
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