Provider Demographics
NPI:1679826218
Name:BACHER, KAREN (PHD, LADAC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BACHER
Suffix:
Gender:F
Credentials:PHD, LADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9101 INDIGO SKY TRAIL SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-0000
Mailing Address - Country:US
Mailing Address - Phone:505-863-7703
Mailing Address - Fax:
Practice Address - Street 1:9101 INDIGO SKY TRL SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-2197
Practice Address - Country:US
Practice Address - Phone:505-863-7703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-19
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)