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Individual

FRANCISCO CHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
320 MCCOMBS RD STE C, CHAPARRAL, NM 88081-7937
(575) 882-5100
(575) 882-1151
Mailing address
320 MCCOMBS RD STE C, CHAPARRAL, NM 88081-7937
(575) 882-5100
(575) 882-1151

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0163581
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64153274
NM
Enumeration date
02/03/2014
Last updated
02/03/2014
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