Provider Demographics
NPI:1164447116
Name:CHAVEZ, NANCY D (BA, LAC, NAADAC, SAP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:D
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:BA, LAC, NAADAC, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22214 D ST
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-7376
Mailing Address - Country:US
Mailing Address - Phone:620-221-9664
Mailing Address - Fax:620-221-9664
Practice Address - Street 1:22214 D ST
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-7376
Practice Address - Country:US
Practice Address - Phone:620-221-9664
Practice Address - Fax:620-442-4559
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)