Individual
BENNY CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 FLETCHER AVE STE 103, LINCOLN, NE 68521-5862
(402) 413-6246
Mailing address
701 ELMWOOD AVE, LINCOLN, NE 68510-3317
(308) 850-3358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14001
NE
104100000X
Social Worker
8057
NE
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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