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Individual

MR. DONNY LEE BACA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
7940 SMOKEWOOD DRIVE, COLORADO SPRINGS, CO 80908-5629
(719) 428-0811
Mailing address
7940 SMOKEWOOD DRIVE, COLORADO SPRINGS, CO 80908-5629
(719) 428-0811

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6570
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
900166628
CO
Enumeration date
10/07/2011
Last updated
09/04/2025
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