Individual
CARMEN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADAC
Contact information
Practice address
1900 10TH ST, ALAMOGORDO, NM 88310-5053
(575) 437-7404
(575) 439-2860
Mailing address
1900 10TH ST, ALAMOGORDO, NM 88310-5053
(575) 437-7404
(575) 439-2860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0088881
NM
101YM0800X
Mental Health Counselor
Primary
0106881
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02920026
—
NM
05
—
51575507
—
NM
Enumeration date
08/02/2006
Last updated
05/03/2011
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