Individual provider · Type 1 NPI

Jonathan Michael Chavis

Addiction (Substance Use Disorder) Counselor · Salem, OR

NPI number 1699131664 Active

Practice location

3878 Beverly Ave NE, Bldg H, Ste 5
Salem, OR 97305-1394

Fax (503) 399-0655

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1699131664

Jonathan Michael Chavis's National Provider Identifier is 1699131664, issued on Jan 6, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salem, OR. The record was last updated on Jan 6, 2016.