Provider Demographics
NPI:1669783049
Name:VICTOR CHAVEZ, WIYANNA ONAWA (LMSW, PLCSW)
Entity type:Individual
Prefix:MISS
First Name:WIYANNA
Middle Name:ONAWA
Last Name:VICTOR CHAVEZ
Suffix:
Gender:
Credentials:LMSW, PLCSW
Other - Prefix:MS
Other - First Name:WIYANNA
Other - Middle Name:O
Other - Last Name:VICTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5501 BENSON CT NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-3223
Mailing Address - Country:US
Mailing Address - Phone:505-321-6335
Mailing Address - Fax:
Practice Address - Street 1:9016 WASHINGTON ST NE STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2728
Practice Address - Country:US
Practice Address - Phone:505-218-6706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
NMM-08963101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst