Individual
STEPHEN JEROME CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
560 PEDRO CHAVEZ LN NE, LOS LUNAS, NM 87031-6522
(505) 309-0775
Mailing address
560 PEDRO CHAVEZ LN NE, LOS LUNAS, NM 87031-6522
(505) 309-0775
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2024-1239
NM
104100000X
Social Worker
Primary
X-11998
NM
Other
Enumeration date
07/22/2021
Last updated
05/28/2026
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