Organization
ESPECIALLY FOR FAMILIES THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA DAVIS BACA LPCC (OWNER)
(505) 238-0797
Entity
Organization
Contact information
Practice address
2929 COORS BLVD NW, STE. 102-F, ALBUQUERQUE, NM 87120-1173
(505) 238-0797
Mailing address
6533 ANCIENTS RD NW, ALBUQUERQUE, NM 87114-6112
(505) 238-0797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3196
NM
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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