Individual
NATALIE THERESA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3736 EUBANK BLVD NE STE B1, ALBUQUERQUE, NM 87111-3583
(505) 382-1578
(888) 506-2110
Mailing address
9531 VALLETTA AVE NW, ALBUQUERQUE, NM 87120-2997
(505) 489-2075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-10508
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-10508
STATE LICENSE
NM
Enumeration date
05/31/2022
Last updated
05/31/2022
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