Individual
MR. OMAR CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1307 KINNEY AVE, AUSTIN, TX 78704-8984
(512) 655-3302
Mailing address
1307 KINNEY AVE, AUSTIN, TX 78704-8984
(512) 655-3302
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203518
TX
Other
Enumeration date
08/11/2021
Last updated
10/05/2021
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