FREDDIE RAYMOND CHAVEZ
NPI 1538764659
Counselor - Mental Health in Mariposa, CA
Active since December 04, 2020
About Freddie Raymond Chavez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDDIE RAYMOND CHAVEZ (NPI 1538764659) is an individual mental health provider in Mariposa, California, licensed in California (ASW94392) and active in the NPI registry since December 2020.
NPPES Registry Identity
NPI1538764659
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameFREDDIE RAYMOND CHAVEZ
Location Address5362 LEMEE LNMariposa, CA 95338-9556
Mailing Address5362 Lemee LnMariposa, CA 95338-9556 · (209) 966-2000
Phone(209) 966-2000
Sole ProprietorYes
Enumeration DateDecember 4, 2020
NPPES CertifiedDecember 2, 2020
✔ NPI 1538764659 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · ASW94392
5362 LEMEE LN, Mariposa, CA 95338
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538764659, enumerated as an "individual" on December 04, 2020.
The provider is located at 5362 LEMEE LN MARIPOSA, CA 95338 and the phone number is (209) 966-2000.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
