Individual
CONNIE CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR BLDG MODESTO, MODESTO, CA 95350-6131
(209) 558-4610
Mailing address
1441 E ORANGEBURG AVE, MODESTO, CA 95355-3145
(209) 450-7386
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
372600000X
Adult Companion
Primary
—
CA
374700000X
Technician
—
—
Other
Enumeration date
09/25/2020
Last updated
05/15/2025
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