Individual
MR. DYLAN JOSEPH-EDWARD CHAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
3975 MIDWAY DRIVE, BAKER CITY, OR 97814
(541) 524-9070
(541) 524-9077
Mailing address
PO BOX 1005, BAKER CITY, OR 97814-1005
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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