Annalicia Nicole Chavez, - Counselor in Vida, OR

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Annalicia Nicole Chavez, is a Counselor - Mental Health based in Vida, Oregon. Annalicia Nicole Chavez is licensed to practice in * (Not Available) (license number ) and her current practice location is 51447 Blue River Dr, Vida, Oregon. She can be reached at her office (for appointments etc.) via phone at (402) 499-9509.

NPI number for Annalicia Nicole Chavez is 1174751721 and her current mailing address is 51447 Blue River Dr, Vida, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174751721.

Contact Information

Annalicia Nicole Chavez,
51447 Blue River Dr,
Vida, OR 97488-9600
(402) 499-9509
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameAnnalicia Nicole Chavez
GenderFemale
SpecialityCounselor - Mental Health
Location51447 Blue River Dr, Vida, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174751721
  • Provider Enumeration Date: 06/22/2009
  • Last Update Date: 03/09/2010

Medical Identifiers

Medical identifiers for Annalicia Nicole Chavez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174751721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Annalicia Nicole Chavez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Annalicia Nicole Chavez,
51447 Blue River Dr,
Vida, OR 97488-9600

Ph: (402) 499-9509		Annalicia Nicole Chavez,
51447 Blue River Dr,
Vida, OR 97488-9600

Ph: (402) 499-9509

Reviews and Comments


Counselor in Vida, OR

Mark F Sherkenney,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 50139 Mckenzie Hwy, Vida, OR 97488
Phone: 541-326-5875    

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