Organization
DIANACHAVEZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA DIANA CHAVEZ LPCC (COUNSELOR)
(505) 690-1171
Entity
Organization
Contact information
Practice address
505 NATIONAL AVE STE 2, LAS VEGAS, NM 87701-4353
(505) 690-1171
Mailing address
PO BOX 754, LAS VEGAS, NM 87701-0754
(505) 690-1171
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
08/03/2020
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