Individual
JACOB XAVIER CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
2041 E 56TH ST, KEARNEY, NE 68847-4179
(308) 236-7145
Mailing address
1553 O RD, MINDEN, NE 68959-6723
(308) 293-7720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8819
NE
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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