Meredith Baca, LPCC, LPC
NPI #1306242474 in Espanola, New Mexico
Provider Information
- NPI Number
- 1306242474
- Entity Type
- Individual
- Name
- Meredith Baca, LPCC, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPCC, LPC
- Enumeration Date
- Nov 17, 2014
- Last Updated
- Nov 9, 2018
Practice Location
- Address
- 360 FOG ROAD
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532
- Phone
- (210) 862-1037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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