Provider Demographics
NPI:1427200567
Name:CHAVEZ, RUBEN NOLAN (LPC)
Entity Type:Individual
Prefix:MR
First Name:RUBEN
Middle Name:NOLAN
Last Name:CHAVEZ
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9864 MENCHACA RD
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-9233
Mailing Address - Country:US
Mailing Address - Phone:210-854-4139
Mailing Address - Fax:
Practice Address - Street 1:9864 MENCHACA RD
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-9233
Practice Address - Country:US
Practice Address - Phone:210-854-4139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62211101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health