Individual
ALEX BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
808 S ELDORADO RD STE 102, BLOOMINGTON, IL 61704-6075
(888) 428-7890
Mailing address
3027 ENGLISH ROWS AVE STE 207, NAPERVILLE, IL 60564-5107
(888) 428-7890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178018156
IL
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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