Individual
DR. RUDY P CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.TH.CC, LADAC, LMHC
Contact information
Practice address
702 N WYOMING AVE, ROSWELL, NM 88201-2173
(505) 205-2871
Mailing address
702 N WYOMING AVE, ROSWELL, NM 88201-2173
(505) 205-2871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2026-0064
NM
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
02/20/2020
Last updated
04/08/2026
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