Individual
ASHLEY NICOLE CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1968 W ADAMS BLVD # 106, LOS ANGELES, CA 90018-3515
(323) 731-3534
(323) 731-5618
Mailing address
1968 W ADAMS BLVD # 106, LOS ANGELES, CA 90018-3515
(323) 731-3534
(323) 731-5618
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/23/2025
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