Individual
ALEX ERNESTO CHAIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4147 BOLTON AVE, PALMDALE, CA 93552-2407
(661) 236-1557
Mailing address
4147 BOLTON AVE, PALMDALE, CA 93552-2407
(661) 236-1557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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