Individual
JESSICA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1426 BIRCH ST, CANON CITY, CO 81212-4428
(719) 248-2170
(719) 269-9632
Mailing address
1426 BIRCH ST, CANON CITY, CO 81212-4428
(719) 269-9632
(719) 269-9632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/18/2008
Last updated
07/01/2009
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