JESSE LEE BACA

RIO RANCHO, NM
NPI1972151728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor Professional
(Licence: NM  CTB-2024-0200)
Enumeration Date2019-08-26
Last Update Date2025-05-05
Business Address
MR. JESSE LEE BACA LPCC
4210 MEADOWLARK LN SE
RIO RANCHO, NM 87124-1021
Phone number: 505-425-6788
Mailing Address
MR. JESSE LEE BACA LPCC
PO BOX 158
ESPANOLA, NM 87532-0158
Phone number: 505-753-7218