Provider Demographics
NPI:1003151192
Name:DIAZ-CHAVEZ, URIEL
Entity Type:Individual
Prefix:MR
First Name:URIEL
Middle Name:
Last Name:DIAZ-CHAVEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 DICKERSON RD APT 65
Mailing Address - Street 2:2300 DICKERSON #65
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4923
Mailing Address - Country:US
Mailing Address - Phone:775-229-5945
Mailing Address - Fax:775-420-5053
Practice Address - Street 1:2300 DICKERSON RD APT 65
Practice Address - Street 2:2300 DICKERSON #65
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4923
Practice Address - Country:US
Practice Address - Phone:775-229-5945
Practice Address - Fax:775-420-5053
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor