Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johanna Jasmin Chavez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1326507039

Johanna Jasmin Chavez is a Student in an Organized Health Care Education/Training Program in Elk Grove, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

9412 Big Horn Blvd Ste 6
Elk Grove, CA 95758-1101
Phone: (916) 417-1162
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Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 119757 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1326507039
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 13, 2019
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address9412 Big Horn Blvd Ste 6, Elk Grove, CA 95758-1101

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