Doctor Name: | LISA NOELANI CHAVEZ |
NPI Number: | 1013300854 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | I-08770 |
Business Practice Address: | 330 N Campo St Las Cruces, NM - 880013433 |
Business Phone Number: | 5759934753 |
Business Fax Number: | |
Mailing Address: | 330 N Campo St, LAS CRUCES |
State: | NM |
Postal Code: | 880013433 |
Phone Number: | 5759934753 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2015 |
NPI Last Update Date: | 03/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I-08770 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |