Individual
JUDE GENE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
Mailing address
1514 TRUJILLO RD SW, ALBUQUERQUE, NM 87105-2857
(505) 489-4460
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0217411
NM
164X00000X
Licensed Vocational Nurse
LPN-22896
NM
Other
Enumeration date
06/10/2022
Last updated
12/20/2022
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