Individual
TOM A CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-8507
Mailing address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-8507
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CMH178671
NM
103TC2200X
Clinical Child & Adolescent Psychologist
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Other
Enumeration date
07/11/2011
Last updated
08/02/2023
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