Individual
LORRAINE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8205 SPAIN RD NE STE 106, ALBUQUERQUE, NM 87109-3155
(505) 856-0300
(505) 856-7946
Mailing address
8205 SPAIN RD NE STE 106, ALBUQUERQUE, NM 87109-3155
(505) 856-0300
(505) 856-7946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0191021
NM
101YM0800X
Mental Health Counselor
Primary
CMH0217201
NM
101YM0800X
Mental Health Counselor
T0191721
NM
Other
Enumeration date
10/06/2017
Last updated
06/08/2021
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