| Stephen J Chavez | |
|
560 Pedro Chavez Ln Ne Los Lunas NM 87031-6522 | |
| (505) 363-7091 | |
| Not Available |
| Full Name | Stephen J Chavez |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 560 Pedro Chavez Ln Ne, Los Lunas, New Mexico |
| Authorized Official Name and Position | Stephen Jerome Chavez (CLINICIAN) |
| Authorized Official Contact | 5053637091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen J Chavez 560 Pedro Chavez Ln Ne Los Lunas NM 87031-6522 Ph: (505) 363-7091 | Stephen J Chavez 560 Pedro Chavez Ln Ne Los Lunas NM 87031-6522 Ph: (505) 363-7091 |
| NPI Number | 1063167187 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063167187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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