Baca, Adam V

Baca, Adam V is an individual health care provider with primary practice located at 2325 Cerrillos Rd The Life Link, Santa Fe NM 87505-3373. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Baca, Adam V can be contacted via phone (505) 438-0010.

Contact Information

Primary practice address
2325 Cerrillos Rd The Life Link Santa Fe NM 87505-3373
Phone: (505) 438-0010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0086901 New Mexico

Profile Details

NPI number 1104817832
LBN Legal business name Baca, Adam V
Credentials MA, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Feb 12th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104817832 NPPES
New Mexico MEDICAID 65659058

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