Tiffany A Revilla, SUDCOUNSELOR
Tiffany A Revilla, SUDCOUNSELOR is an Addiction (Substance Use Disorder) Counselor in Santa Rosa, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
3555 Sonoma HwySanta Rosa, CA 95409-4024
Phone: (707) 526-3150
Fax: (707) 581-2155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 11616 (CA) |
|---|
Record details
| NPI number | 1124613674 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDCOUNSELOR |
| Sole proprietor | No |
| NPI enumerated | March 6, 2021 |
| Last updated in NPPES | March 6, 2021 |
| Certification date | March 6, 2021 |
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