Chavez, Jessica

Chavez, Jessica is an sole proprietor health care provider with primary practice located at 1426 Birch St , Canon City CO 81212-4428. 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, Jessica can be contacted via phone (719) 248-2170.

Contact Information

Primary practice address
1426 Birch St Canon City CO 81212-4428
Phone: (719) 248-2170
Fax: (719) 269-9632
Website:
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Health care specialties

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

Profile Details

NPI number 1073762605
LBN Legal business name Chavez, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2008
Last updated Jul 1st, 2009 - about 17 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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