Individual provider · Type 1 NPI

Jason S. Chavez

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1225294028 Active

Practice location

17270 Roosevelt St
Riverside, CA 92508-9523

Mailing address

5870 Arlington Ave
Riverside, CA 92504-2037

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCATC-1913184 (CA)

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About NPI 1225294028

Jason S. Chavez's National Provider Identifier is 1225294028, issued on Jul 31, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Jul 17, 2020.