Individual
JOE CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12165 W CENTER RD, SUITE 70, OMAHA, NE 68144-3962
(402) 697-3923
(402) 697-3924
Mailing address
12165 W CENTER RD, SUITE 70, OMAHA, NE 68144-3962
(402) 697-3923
(402) 697-3924
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
631
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025332900
—
NE
05
—
47082303526
—
NE
Enumeration date
05/20/2008
Last updated
05/20/2008
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