Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | APCC6157 | CA |
NPI | 1003434358 |
---|---|
Provider Name | Virginia Chavez |
First Address | Valencia, CA 91354-1327 |
Second Address | Valencia, CA 91355-5348 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2020 |
Last Update Date | 13/07/2020 |