Doctor Name: | AUDREY CHACON |
NPI Number: | 1831322098 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BMS |
License Number: | |
Business Practice Address: | 413 Sipapu Rd. Taos, NM - 87571 |
Business Phone Number: | 5757585857 |
Business Fax Number: | 5757585860 |
Mailing Address: | Po Box 6952, TAOS |
State: | NM |
Postal Code: | 87571 |
Phone Number: | 5757585857 |
Fax Number: | 5757585860 |
NPI Enumeration Date: | 09/03/2009 |
NPI Last Update Date: | 07/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |