Individual
MR. ANTHONY MANUEL CHAVIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
409 W OLYMPIC BLVD APT 507, LOS ANGELES, CA 90015-1633
(323) 551-7754
Mailing address
409 W OLYMPIC BLVD APT 507, LOS ANGELES, CA 90015-1633
(323) 551-7754
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
145793
CA
Other
Enumeration date
07/30/2019
Last updated
03/19/2024
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