Individual
MISS MARIA C CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
218 BROADWAY AVE, ABQ, NM 87048
(505) 242-6988
Mailing address
702 BROADWAY BLVD SE, #7, ALBUQUERQUE, NM 87102-4285
(505) 506-8932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0109021
NM
Other
Enumeration date
01/14/2009
Last updated
02/18/2011
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