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Angela Tilatha Chavez
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1497314025

Angela Tilatha Chavez is an Addiction (Substance Use Disorder) Counselor based in Santa Clara, CA and is specialized in Addiction (Substance Use Disorder). Angela Tilatha Chavez practices in San Jose, CA. The NPI Number for Angela Tilatha Chavez is 1497314025 and holds a License No. 1346528106 (California).

The current practice location address for Angela Tilatha Chavez is 9500 Malech Rd, San Jose, CA and can be reached out via phone at 408-281-6555.

Location: 9500 Malech Rd, San Jose, CA, 95050-4186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497314025
Provider Name
Angela Tilatha Chavez
Credential
Provider Entity Type
Individual
Gender
Female
Address
9500 Malech Rd, San Jose, CA, 95050-4186
Phone Number
408-281-6555
Fax Number
Provider Enumeration Date
06/07/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1346528106 05 CA
institution
Provider Business Practice Location Address Details
Address
9500 Malech Rd
City
San Jose
State
California
Zip
95138
Phone Number
408-281-6555
Fax Number
person
Provider Business Mailing Address Details
Address
9500 Malech Rd
City
San Jose
State
California
Zip
95138
Phone Number
408-281-6555
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
1346528106 (California)
Definition
Definition to come...
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