Individual
DAVID CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
503 N MAIN ST STE 543, PUEBLO, CO 81003-3141
(719) 299-0615
Mailing address
503 N MAIN ST STE 543, PUEBLO, CO 81003-3141
(719) 299-0615
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0012959
CO
Other
Enumeration date
08/27/2016
Last updated
08/27/2016
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