ISMAEL CHAVEZ

TUMWATER, WA
NPI1922595503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP60594955)
Enumeration Date2018-04-18
Last Update Date2018-04-18
Business Address
MR. ISMAEL CHAVEZ BA, CDP
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number: 360-209-5422
Mailing Address
MR. ISMAEL CHAVEZ BA, CDP
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number: 360-209-5422
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