Individual
WALTINA CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCDC
Contact information
Practice address
1015 GIBBINS RD, ARLINGTON, TX 76011-5615
(817) 893-0994
Mailing address
PO BOX 152315, ARLINGTON, TX 76015-8315
(817) 893-0994
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
16965
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16965
TX
Other
Enumeration date
01/25/2021
Last updated
12/19/2024
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