Individual
STEPHANIE ELISA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 570-4133
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 570-4133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2025-0250
NM
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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