Chavez, Susanyeles Y

Chavez, Susanyeles Y is an individual health care provider with primary practice located at 709 5Th Ave , San Rafael CA 94901-3202. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Chavez, Susanyeles Y can be contacted via phone (510) 221-7160.

Contact Information

Primary practice address
709 5Th Ave San Rafael CA 94901-3202
Phone: (510) 221-7160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X California
Other Service Providers / Peer Specialist 175T00000X MPSS-XARUCG California

Profile Details

NPI number 1558099903
LBN Legal business name Chavez, Susanyeles Y
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2022
Last updated May 30th, 2023 - about last year

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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