Individual
MONIQUE C BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1930 ILFIELD RD SW, ALBUQUERQUE, NM 87105-7055
(505) 249-2023
Mailing address
1930 ILFIELD RD SW, ALBUQUERQUE, NM 87105-7055
(505) 249-2023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0151401
NM
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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