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General NPI Number Information
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NPI Number | 1801750815
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Entity Type | Organization
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Legal Business Name | CHAIDEZ COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 12/13/2025
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 2220 SAN JACINTO BLVD # 235G
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City | DENTON
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State | TX
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Zip | 76205-7589
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Country | US
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Telephone | 940-202-0921
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 SAN JACINTO BLVD # 235G
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City | DENTON
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State | TX
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Zip | 76205-7589
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Country | US
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Telephone | 940-202-0921
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | JOSE MANUEL CHAIDEZ
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Credential | LCSW
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Telephone | 940-202-0921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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