Individual
EDWARD CHAVARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
928 BROADWAY, SAN DIEGO, CA 92101-5514
(619) 977-3716
(619) 481-3075
Mailing address
928 BROADWAY, SAN DIEGO, CA 92101-5514
(619) 977-3716
(619) 481-3075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
04/03/2025
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