Chavez, Christine R

Chavez, Christine R is an individual health care provider with primary practice located at 422 E Vermijo Ave Ste 206 , Colorado Springs CO 80903-3778. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Chavez, Christine R can be contacted via phone (719) 358-1721.

Contact Information

Primary practice address
422 E Vermijo Ave Ste 206 Colorado Springs CO 80903-3778
Phone: (719) 358-1721
Fax: (719) 309-0731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 11191 Colorado

Profile Details

NPI number 1114264389
LBN Legal business name Chavez, Christine R
Credentials PSYD, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2013
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114264389 NPPES
Colorado MEDICAID 15621839
Colorado Other 12529685

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