Individual provider · Type 1 NPI

Phillip Chaidez

Mental Health Counselor · Los Angeles, CA

NPI number 1508115619 Active

Practice location

550 S Vermont Avenue
Los Angeles, CA 90020

Call (213) 739-2379 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1508115619

Phillip Chaidez's National Provider Identifier is 1508115619, issued on Sep 5, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 3, 2013.