Shellie Lee Revilla
Shellie Lee Revilla is a Marriage & Family Therapist in Campbell, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
4916 Poplar TerCampbell, CA 95008-5717
Phone: (408) 202-3992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence MFT35689 (CA) |
|---|
Record details
| NPI number | 1699409482 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 15, 2022 |
| Last updated in NPPES | July 15, 2022 |
| Certification date | July 15, 2022 |
| Mailing address | 4916 Poplar Ter, Campbell, CA 95008-5717 |
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