Individual
MR. ALFRED C CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
149 CAMINO DEL CIELO, YUCCA LODGE, FORT BAYARD, NM 88036
(575) 537-8831
(575) 537-3760
Mailing address
PO BOX 36216, FORT BAYARD, NM 88036-6216
(575) 537-8831
(575) 537-3760
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3616
NM
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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