Individual
LEA MONIQUE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
510 S VERMONT AVE # 21, LOS ANGELES, CA 90020-1992
(213) 351-2813
Mailing address
510 S VERMONT AVE # 21, LOS ANGELES, CA 90020-1992
(213) 351-2813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
03/12/2007
Last updated
05/22/2025
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