Individual
DIANE C. CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LSAA
Contact information
Practice address
4425 JUAN TABO BLVD NE STE 112, ALBUQUERQUE, NM 87111-2684
(505) 503-6800
Mailing address
801 GUAYMAS PL NE, ALBUQUERQUE, NM 87108-2331
(505) 238-7468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0082381
NM
Other
Enumeration date
12/04/2006
Last updated
02/10/2025
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