Individual
JOSE FELICIANO CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 GOLD ST, REDDING, CA 96001-1937
(530) 691-4446
(530) 691-4454
Mailing address
1401 GOLD ST, REDDING, CA 96001-1937
(530) 691-4446
(530) 691-4454
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
175T00000X
Peer Specialist
Primary
MPSS-OGIJYM
CA
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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