Individual
CARL CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 COUNTY SQUARE DRIVE SUITE 112, VENTURA, CA 93003
(805) 242-8399
Mailing address
PO BOX 111, SANTA PAULA, CA 93061
(805) 242-8399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
126443
CA
Other
Enumeration date
03/18/2010
Last updated
08/09/2021
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