| Patricia A Baca, | |
|
2301 7th St Ste A, Las Vegas, NM 87701-4966 | |
| (505) 454-9611 | |
| (505) 454-8079 |
| Full Name | Patricia A Baca |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2301 7th St Ste A, Las Vegas, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902503931 | NPI | - | NPPES |
| 83774556 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A Baca, 105 Paseo Del Canon W Ste A, Taos, NM 87571-6943 Ph: (575) 737-5533 | Patricia A Baca, 2301 7th St Ste A, Las Vegas, NM 87701-4966 Ph: (505) 454-9611 |
Tomasita Jasmine Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 University Ave, Las Vegas, NM 87701 Phone: 505-454-8265 Fax: 505-454-8268 | |
Tiffany Monique Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 University Ave, Las Vegas, NM 87701 Phone: 505-454-8265 | |
Mrs. Maria L Vigil, LPCC, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2301 7th St, Las Vegas, NM 87701 Phone: 505-454-9611 | |
Damien Derego, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1235 8th St, Las Vegas, NM 87701 Phone: 505-426-6788 | |
Irene C Sandoval, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Friedman Ave, Las Vegas, NM 87701 Phone: 505-454-5100 | |
Christi Anne Pickren, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Airport Rd, Las Vegas, NM 87701 Phone: 505-454-9738 Fax: 505-425-9285 | |
Serafin Lopez, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2503 Ridge Runner Rd, Las Vegas, NM 87701 Phone: 505-454-8265 |