Shannon Chavez
NPI #1386035616 in Grants, New Mexico
Provider Information
- NPI Number
- 1386035616
- Entity Type
- Individual
- Name
- Shannon Chavez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Feb 9, 2015
- Last Updated
- Feb 9, 2015
Practice Location
- Address
- 833 E ROOSEVELT AVE
- City
- Grants
- State
- New Mexico
- ZIP Code
- 87020-2115
- Phone
- (505) 876-1890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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