Individual
MR. ANTHONY PETER BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1101 MEDICAL ARTS AVE NE, BUILDING #3, ALBUQUERQUE, NM 87102-2706
(505) 842-5300
(505) 765-1100
Mailing address
1101 MEDICAL ARTS AVE NE, BUILDING #3, ALBUQUERQUE, NM 87102-2706
(505) 842-5300
(505) 765-1100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0150761
NM
Other
Enumeration date
04/08/2008
Last updated
06/03/2013
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