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Individual
JESUS CHAVEZ
Active
Individual
JESUS CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15186
TX
101YM0800X
Mental Health Counselor
Primary
78861
TX
101YP2500X
Professional Counselor
78861
TX
Other
Enumeration date
02/04/2020
Last updated
04/23/2021
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