| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ROXANNE CHAVEZ | 1972899334 | 2022-11-20 |
Roxanne Chavez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972899334. Registration indicates Roxanne 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 | Roxanne Chavez |
| Practice Office Address | 410 S GLENDORA AVE STE 130 GLENDORA, CA US |
| Practice Office Telephone | 6269933000 |
| Mailing Address | 410 S GLENDORA AVE STE 130 GLENDORA, CA 917416207 US |
| 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 | 110507
CA |