Individual
RICHARD CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW, PLMHC
Contact information
Practice address
1445 FRONTAGE RD NW, SOCORRO, NM 87801-5077
(575) 835-4357
(505) 514-0732
Mailing address
817 DESI LOOP, BELEN, NM 87002-8068
(575) 835-4357
(505) 514-0732
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2024-0724
NM
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/20/2024
Last updated
12/20/2024
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