Healthcare Provider Details

I. General information

NPI: 1699620195
Provider Name (Legal Business Name): MR. MAURICE JOVEN CLAVANO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2026
Last Update Date: 02/28/2026
Certification Date: 02/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 COHASSET RD STE 175
CHICO CA
95926-2460
US

IV. Provider business mailing address

2833 EATON RD UNIT 250
CHICO CA
95973-5656
US

V. Phone/Fax

Practice location:
  • Phone: 530-891-2784
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW136402
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: