Individual provider · NPI-1
Letty Crystal Chairez
Day Training/Habilitation Specialist · Roseville, CA
NPI number1780279877
StatusActive
Last updated in NPPESJul 10, 2025
Details
- NPI
- 1780279877
- Entity type
- Individual (NPI-1)
- Name
- Letty Crystal Chairez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2021
- Certification date
- Jul 10, 2025
- Last updated
- Jul 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | CA | |
| 172V00000X | Community Health Worker | – | CA | |
| 172V00000X | Community Health Worker | – | – | |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
1520 Eureka Rd Ste 102Roseville, CA 95661-2849
Phone 916-532-0228
Mailing address
1520 Eureka Rd Ste 102Roseville, CA 95661-2849
Phone 916-532-0228
Other practice locations
3050 Beacon Blvd Ste 1033050
West Sacramento, CA 95691-3467
West Sacramento, CA 95691-3467
Phone 916-462-3100
801 Empire St
Fairfield, CA 94533-5702
Fairfield, CA 94533-5702
Phone 707-425-5744 · Fax 707-425-5162
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