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

Benjamin Chet Revis

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760304356

Benjamin Chet Revis is an Addiction (Substance Use Disorder) Counselor in Clearlake Oaks, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

14715 E Highway 20
Clearlake Oaks, CA 95423
Phone: (707) 998-1800
Fax: (707) 998-0122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence SUDRC26267 (CA)

Record details

NPI number1760304356
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJuly 27, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 9, 2026

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