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1104817832
ADAM V BACA
SANTA FE, NM
NPI
1104817832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NM 0086901)
Enumeration Date
2005-11-02
Last Update Date
2008-02-12
Business Address
-- ADAM V BACA MA, LPCC
2325 CERRILLOS RD THE LIFE LINK
SANTA FE, NM 87505-3373
Phone number: 505-438-0010
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Mailing Address
-- ADAM V BACA MA, LPCC
PO BOX 4421
FAIRVIEW, NM 87533-4421
Phone number: 505-804-6268
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