Chavez, Virginia M

Chavez, Virginia M is an individual health care provider with primary practice located at 100 W. Griggs , Las Cruces NM 88001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chavez, Virginia M can be contacted via phone (575) 648-2800.

Contact Information

Primary practice address
100 W. Griggs Las Cruces NM 88001
Fax: (575) 647-2898
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0074361 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-05766 New Mexico

Profile Details

NPI number 1619909900
LBN Legal business name Chavez, Virginia M
Credentials LISW, LADAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 19th, 2015 - about 11 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 1619909900 NPPES
New Mexico MEDICAID 74481

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