Individual
MRS. VIRGINIA M CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, LADAC
Contact information
Practice address
100 W. GRIGGS, LAS CRUCES, NM 88001
(575) 648-2800
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0074361
NM
1041C0700X
Clinical Social Worker
Primary
I-05766
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74481
—
NM
Enumeration date
07/07/2006
Last updated
10/19/2015
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