Carlos Raymundo Chavez Rodriguez, Non-counselor
Counselor in Buffalo, NY. Individual provider (NPI-1).
NPI number1982115408
StatusActive
Last updated in NPPESNov 18, 2021
Details
- NPI
- 1982115408
- Entity type
- Individual (NPI-1)
- Name
- Carlos Raymundo Chavez Rodriguez
- Credential
- Non-counselor
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2017
- Certification date
- Nov 18, 2021
- Last updated
- Nov 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | P13798 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1412 Sweet Home Rd. Suite 3-5Buffalo, NY 14228
Phone 716-884-0700 · Fax 716-884-0631
Mailing address
1412 Sweet Home RdBuffalo, NY 14228-2795
Phone 716-589-1411 · Fax 716-276-3051
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