Individual
DOMINICK CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 MAXFIELD AVE NE, LOS LUNAS, NM 87031-0000
(505) 944-6626
(505) 359-3239
Mailing address
1848 DANNY GALLEGOS LN, LOS LUNAS, NM 87031-4915
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
04/16/2026
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