Individual
DEREK J. BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3355 BEE CAVES RD STE 605, WEST LAKE HILLS, TX 78746-6681
(512) 423-2892
Mailing address
3603 SUMMIT BND UNIT B, AUSTIN, TX 78759-8945
(512) 423-2892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
53019
TX
Other
Enumeration date
12/21/2009
Last updated
01/30/2022
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