Individual
DR. CHUCK THOMAS CHIVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC BHP
Contact information
Practice address
3131 N COUNTRY CLUB RD STE 101, TUCSON, AZ 85716-1650
(520) 325-9498
Mailing address
3131 N COUNTRY CLUB RD STE 101, TUCSON, AZ 85716-1650
(520) 325-9498
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10044
AZ
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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