Individual
MS. THERESA MARIE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CAC III
Contact information
Practice address
302 BARNES AVE, LA JUNTA, CO 81050-1329
(719) 384-8503
(719) 384-8411
Mailing address
32849 COUNTY ROAD 10, MANZANOLA, CO 81058-9711
(719) 980-0133
(719) 462-5716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3846
CO
101YM0800X
Mental Health Counselor
1562
CO
Other
Enumeration date
10/15/2006
Last updated
09/11/2025
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