Doctor Name: | MS. SANDRA VERONICA CHAVEZ |
NPI Number: | 1013094895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A, I.M.F |
License Number: | |
Business Practice Address: | 760 Mountain View St Altadena, CA - 910014925 |
Business Phone Number: | 6262461759 |
Business Fax Number: | 6262461703 |
Mailing Address: | 760 Mountain View St, ALTADENA |
State: | CA |
Postal Code: | 910014925 |
Phone Number: | 6262461759 |
Fax Number: | 6262461703 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 04/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |