Individual
JESSICA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11163 LA QUINTA PL STE B100, EL PASO, TX 79936-5258
(915) 201-2606
Mailing address
8125 LOMITA DR, EL PASO, TX 79907-3622
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106494
TX
Other
Enumeration date
07/23/2024
Last updated
04/02/2025
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