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Stephanie Chavez

Counselor in Espanola, NM. Individual provider (NPI-1).

NPI number1609100221
StatusActive
Last updated in NPPESDec 8, 2010

Details

NPI
1609100221
Entity type
Individual (NPI-1)
Name
Stephanie Chavez
Sex
Female
Sole proprietor
No
Enumeration date
Sep 29, 2009
Last updated
Dec 8, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

1302 Calle De La Merced Ste H
Espanola, NM 87532-2630

Phone 505-747-0081 · Fax 505-747-0083

Mailing address

1302 Calle De La Merced Ste H
Espanola, NM 87532-2630

Phone 505-747-0081 · Fax 505-747-0083

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