Individual
MS. SANDRA LEE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.A.T
Contact information
Practice address
428 LOS LENTES, S.E., LOS LUNAS, NM 87031
(505) 620-1911
(505) 865-7422
Mailing address
P.O. BOX 730, LOS LUNAS, NM 87031
(505) 620-1911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2414
NM
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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