Individual
FELICIA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105
(505) 877-0371
Mailing address
1710 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4502
(505) 212-7405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T-CTL0197701
NM
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
07/31/2018
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