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CARMALITA BACA
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1114400017
Individual Registrant: CARMALITA BACA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
711 BARNES AVE LA JUNTA, CO 81050-2138 US
Tel: 800-511-5446 Fax: --
Tel: 800-511-5446 Fax: --
Contact information for business:
711 BARNES AVE LA JUNTA, CO 81050-2138 US
Tel: 800-511-5446 Fax: --
Tel: 800-511-5446 Fax: --
Registration Information:
NPI: 1114400017
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
