Provider Demographics
NPI:1396408852
Name:CHAVEZ, ANTOINETTE (RECOVERY COACH)
Entity type:Individual
Prefix:MS
First Name:ANTOINETTE
Middle Name:
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:RECOVERY COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W 10TH AVE APT 218
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-3974
Mailing Address - Country:US
Mailing Address - Phone:303-243-2599
Mailing Address - Fax:
Practice Address - Street 1:901 W 10TH AVE APT 218
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-3974
Practice Address - Country:US
Practice Address - Phone:303-243-2599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist