Individual
VANESSA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2360
(505) 345-8471
Mailing address
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2360
(505) 345-8471
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C-12174
NM
1041C0700X
Clinical Social Worker
C-12174
NM
1041C0700X
Clinical Social Worker
M-08877
NM
1041C0700X
Clinical Social Worker
X-08444
NM
Other
Enumeration date
05/28/2014
Last updated
10/17/2023
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