Individual
IRENE BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 520-6035
Mailing address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 520-6035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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