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Mary Henrietta Chavez

Marriage & Family Therapist in Bakersfield, CA. Individual provider (NPI-1).

NPI number1124157151
StatusActive
Last updated in NPPESJun 28, 2021

Details

NPI
1124157151
Entity type
Individual (NPI-1)
Name
Mary Henrietta Chavez
Sex
Female
Sole proprietor
No
Enumeration date
Mar 5, 2007
Certification date
Jun 28, 2021
Last updated
Jun 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistLMFT36886CAYes

Practice location

3628 Stockdale Hwy
Bakersfield, CA 93309-2153

Phone 661-322-1021

Mailing address

3628 Stockdale Hwy
Bakersfield, CA 93309-2153

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