Kaylee Briana Chavez
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Isleta, NM
NPI 1760050652 · NPPES record last updated Jun 16, 2021
Key facts
- NPI
- 1760050652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CSA0212871 (NM)
- Practice address
- 01 Sagebrush
Isleta, NM 87022 - Phone
- (505) 869-4866
- Fax
- (505) 869-4881
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSA0212871 | NM | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CSA0212871 | NM | Yes |
Addresses
Primary practice location
01 Sagebrush
Isleta, NM 87022
Mailing address
P.O Box 640
Isleta, NM 87022-0640
Phone (505) 869-4866
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSA0212871 | Other | NM | LICENSE |
Other providers in Isleta, NM
- Natasha Abeita
- Stephanie Ruth Barela
- Attlee Becenti Benally
- Erica Leanne Carrasco
- Erica Marie Carrillo
- Keely Justice Chavez
- Misti Marlene Chavez
- Lisa K Cherino
- Susan Stephanie Chewiwi
- Jessica Chynoweth
All providers in Isleta, NM · Addiction (Substance Use Disorder) Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.