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MS. THERESA MARIE BAUER LPC, CAC III

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1962592253

Individual Registrant:
MS. THERESA MARIE BAUER LPC, CAC III
Gender: F
Sole Proprietor

Location and contact information for practice:
302 BARNES AVE  LA JUNTA, CO 81050-1329 US
Tel: 719-384-8503  Fax: 719-384-8411

Contact information for business:
32849 COUNTY ROAD 10  MANZANOLA, CO 81058-9711 US
Tel: 719-980-0133  Fax: 719-462-5716

Registration Information:
NPI: 1962592253
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CO3846
X101YM0800XBehavioral Health & Social Service Providers
Counselor
CO1562

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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