Individual provider · Type 1 NPI

Kenneth Theodore Chavez

Addiction (Substance Use Disorder) Counselor · Pasadena, CA

NPI number 1992217764 Active

Practice location

225 Grandview St
Pasadena, CA 91104-2114

Call (626) 797-1124 Map

Fax (626) 398-5984

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 1992217764

Kenneth Theodore Chavez's National Provider Identifier is 1992217764, issued on Nov 1, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pasadena, CA. The record was last updated on Nov 1, 2017.