Individual
MARY JEANNE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5700 E PIMA, SUITE D/E, TUCSON, AZ 85712
(520) 885-1738
Mailing address
2525 W ANKLAM RD APT 318, TUCSON, AZ 85745-3948
(520) 815-9060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17212
AZ
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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