person
Kenneth Theodore Chavez
Addiction (Substance Use Disorder) Counselor in Pasadena, California
NPI 1992217764

Kenneth Theodore Chavez is an Addiction (Substance Use Disorder) Counselor based in Pasadena, CA and is specialized in Addiction (Substance Use Disorder). Kenneth Theodore Chavez practices in Pasadena, CA. The NPI Number for Kenneth Theodore Chavez is 1992217764 and holds a License No. (California).

The current practice location address for Kenneth Theodore Chavez is 225 Grandview St, Pasadena, CA and can be reached out via phone at 626-797-1124 and via fax at 626-398-5984.

Location: 225 Grandview St, Pasadena, CA, 91104-2114
person
Provider Profile Details
NPI Number
1992217764
Provider Name
Kenneth Theodore Chavez
Credential
Provider Entity Type
Individual
Gender
Male
Address
225 Grandview St, Pasadena, CA, 91104-2114
Phone Number
626-797-1124
Fax Number
626-398-5984
Provider Enumeration Date
11/01/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
225 Grandview St
City
State
Zip
91104-2114
Phone Number
626-797-1124
Fax Number
626-398-5984
person
Provider Business Mailing Address Details
Address
225 Grandview St
City
State
Zip
91104-2114
Phone Number
626-797-1124
Fax Number
626-398-5984
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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