EDWARD BACA

LAS VEGAS, NM
NPI1871957548
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: NM  0149351)
Enumeration Date2016-04-08
Last Update Date2016-04-08
Business Address
EDWARD BACA LPCC
700 FRIEDMAN AVE 3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701-4231
Phone number: 505-454-5120
Mailing Address
EDWARD BACA LPCC
700 FRIEDMAN AVE 3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701-4231
Phone number: 505-454-5120