KENNETH THEODORE CHAVEZ

PASADENA, CA
NPI1992217764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-11-01
Last Update Date2017-11-01
Business Address
KENNETH THEODORE CHAVEZ
225 GRANDVIEW ST
PASADENA, CA 91104-2114
Phone number: 626-797-1124
Mailing Address
KENNETH THEODORE CHAVEZ
225 GRANDVIEW ST
PASADENA, CA 91104-2114
Phone number: 626-797-1124
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