Provider / Organization | NPI | Date Certified |
---|---|---|
ADOLPH CHAVEZ | 1245386259 | 2024-10-13 |
Adolph Chavez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1245386259. Registration indicates Adolph Chavez is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Adolph Chavez Jr. LCMFT |
Practice Office Address | 1999 N AMIDON AVE STE 232 WICHITA, KS US |
Practice Office Telephone | 3167793694 |
Practice Office Fax | 3166189584 |
Mailing Address | 1999 N AMIDON AVE STE 232 WICHITA, KS 672032123 US |
Business Telephone | 3167793694 |
Business Fax | 3166189584 |
Code | Practice | License No State |
---|---|---|
106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 718
KS |