Individual
JAHIDA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1893 E 29TH ST, LORAIN, OH 44055-1805
(928) 286-7743
Mailing address
1893 E 29TH ST, LORAIN, OH 44055-1805
(928) 286-7743
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.188544
OH
Other
Enumeration date
05/23/2024
Last updated
07/07/2024
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