Baca, Meredith

Baca, Meredith is an sole proprietor health care provider with primary practice located at 360 Fog Road , Espanola NM 87532. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Baca, Meredith can be contacted via phone (210) 862-1037.

Contact Information

Primary practice address
360 Fog Road Espanola NM 87532
Phone: (210) 862-1037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 68716 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CCMH200151 New Mexico

Profile Details

NPI number 1306242474
LBN Legal business name Baca, Meredith
Credentials LPCC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2014
Last updated Nov 9th, 2018 - about 8 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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