Individual
DARIQUETTA DORRY CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 COLLEGE DR, GALLUP, NM 87301-5600
(505) 397-5172
Mailing address
312 BLACK DIAMOND CANYON DR, GALLUP, NM 87301-5356
(505) 906-1715
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SWB-2026-0636
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2023-0793
NM
103TA0400X
Addiction (Substance Use Disorder) Psychologist
CTB-2026-0621
NM
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
07/23/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up