Provider Demographics
NPI:1356895890
Name:CHAVEZ- ASFORIS, VANESSA (MSW)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:CHAVEZ- ASFORIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8271 N FLETCHER RUN CIR
Mailing Address - Street 2:APT. 104
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-2018
Mailing Address - Country:US
Mailing Address - Phone:901-336-8650
Mailing Address - Fax:
Practice Address - Street 1:8271 N FLETCHER RUN CIR
Practice Address - Street 2:APT. 104
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-2018
Practice Address - Country:US
Practice Address - Phone:901-336-8650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-13
Last Update Date:2016-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101Y00000XBehavioral Health & Social Service ProvidersCounselor