Individual provider · Type 1 NPI
Tana Chavez
Peer Specialist · San Felipe Pueblo, NM
NPI number
1760065817
Active
Practice location
P.o Box 4339
San Felipe Pueblo, NM 87001
Fax (505) 771-9994
Mailing address
9201 Montgomery Blvd NE Ste 5
Albuquerque, NM 87111-2468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 1115 (NM) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CSA0223991 (NM) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
About NPI 1760065817
Tana Chavez's National Provider Identifier is 1760065817, issued on May 5, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Felipe Pueblo, NM. The record was last updated on Apr 9, 2024.