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NPI Code Detail

MEDICARE: EMILY CHAVEZ LAC

MEDICARE:   EMILY  CHAVEZ  LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLAC-23618AZ

General Provider Information

NPI Number : 1134063118
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY CHAVEZ LAC
Provider Business Mailing Address
First Line : 1050 E RIVER RD STE 202
Second Line :
City : TUCSON
State : AZ
Zip : 85718-5736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1050 E RIVER RD STE 202
Second Line :
City : TUCSON
State : AZ
Zip : 85718-5736
Country : US
Telephone Number : 520-551-3150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ EMILY CHAVEZ LAC” Practice Location

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