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Individual

CELINA BACA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2404 ROZINANTE DR NW, ALBUQUERQUE, NM 87104-3081
(505) 263-4159
Mailing address
2404 ROZINANTE DR NW, ALBUQUERQUE, NM 87104-3081
(505) 263-4159

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
T-0181961
NM

Other

Enumeration date
06/09/2016
Last updated
06/09/2016
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