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Susanyeles Y Chavez
Peer Specialist in San Rafael, California
NPI 1558099903

Susanyeles Y Chavez is a Peer Specialist based in San Rafael, CA. Susanyeles Y Chavez practices in San Rafael, CA. The NPI Number for Susanyeles Y Chavez is 1558099903 and holds a License No. (California).

The current practice location address for Susanyeles Y Chavez is 709 5Th Ave, San Rafael, CA and can be reached out via phone at 510-221-7160.

Location: 709 5Th Ave, San Rafael, CA, 94901-3202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558099903
Provider Name
Susanyeles Y Chavez
Credential
Provider Entity Type
Individual
Gender
Female
Address
709 5Th Ave, San Rafael, CA, 94901-3202
Phone Number
510-221-7160
Fax Number
Provider Enumeration Date
08/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
709 5Th Ave
City
San Rafael
State
California
Zip
94901-3202
Phone Number
510-221-7160
Fax Number
person
Provider Business Mailing Address Details
Address
709 5Th Ave
City
San Rafael
State
California
Zip
94901-3202
Phone Number
510-221-7160
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MPSS-XARUCG (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(California)
Definition
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.
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