Provider Demographics
NPI:1669651733
Name:CHAVEZ-WILLIS, APRIL ESTELLE (MA)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:ESTELLE
Last Name:CHAVEZ-WILLIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:APRIL
Other - Middle Name:ESTELLE
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:6301 BEACH BLVD
Mailing Address - Street 2:SUITE 245
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-2840
Mailing Address - Country:US
Mailing Address - Phone:714-736-0231
Mailing Address - Fax:
Practice Address - Street 1:6301 BEACH BLVD
Practice Address - Street 2:SUITE 245
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-2840
Practice Address - Country:US
Practice Address - Phone:714-736-0231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55233106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist