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Individual

MR. ISMAEL CHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA, CDP

Contact information

Practice address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 209-5422
Mailing address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 209-5422

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60594955
WA

Other

Enumeration date
04/18/2018
Last updated
04/18/2018
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