Individual
DR. CHRISTINE R CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LPC
Contact information
Practice address
422 E VERMIJO AVE STE 206, COLORADO SPRINGS, CO 80903-3778
(719) 358-1721
(719) 309-0731
Mailing address
1067 E US HIGHWAY 24 # 294, WOODLAND PARK, CO 80863-2120
(719) 358-1721
(719) 309-0731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11191
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12529685
CAQH
—
05
—
15621839
—
CO
Enumeration date
01/08/2013
Last updated
07/21/2022
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