Robin Deanne Chavez, BA, CAC 111

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cortez, CO

NPI 1598960353 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1598960353
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
3344 (CO)
Practice address
35 N Ash St
Cortez, CO 81321-3201
Phone
(970) 565-4109
Fax
(970) 565-8804
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
3344COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Ute Indian Tribe Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3344 CO Yes

Addresses

Primary practice location

35 N Ash St
Cortez, CO 81321-3201

Mailing address

35 N Ash St
Cortez, CO 81321-3201
Phone (970) 565-4109

Other providers in Cortez, CO

All providers in Cortez, CO · Addiction (Substance Use Disorder) Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.