Jessica Chavez
NPI #1073762605 in Canon City, Colorado
Provider Information
- NPI Number
- 1073762605
- Entity Type
- Individual
- Name
- Jessica Chavez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 18, 2008
- Last Updated
- Jul 1, 2009
Practice Location
- Address
- 1426 BIRCH ST
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-4428
- Phone
- (719) 248-2170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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