ADAM V BACA

SANTA FE, NM
NPI1104817832
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NM  0086901)
Enumeration Date2005-11-02
Last Update Date2008-02-12
Business Address
-- ADAM V BACA MA, LPCC
2325 CERRILLOS RD THE LIFE LINK
SANTA FE, NM 87505-3373
Phone number: 505-438-0010
Mailing Address
-- ADAM V BACA MA, LPCC
PO BOX 4421
FAIRVIEW, NM 87533-4421
Phone number: 505-804-6268
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