Individual
CHRISTA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 PEGER RD, FAIRBANKS, AK 99709-5169
(907) 750-2691
Mailing address
1423 PEGER RD, FAIRBANKS, AK 99709-5169
(907) 750-2691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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