Individual provider · Type 1 NPI
Tiffany A. Revilla, SUD COUNSELOR
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1124613674
Active
Practice location
3555 Sonoma Hwy
Santa Rosa, CA 95409-4024
Fax (707) 581-2155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11616 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
5 other providers at this address
- California Human Development CorporationSubstance Abuse Rehabilitation Facility Santa Rosa, CA NPI 1346618881
- Alofa Jennifer TiapepeAddiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1134784275
- Electra KM Estrada, CATCAddiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1568977197
- Shannon Ann Kollerer, LEAD CARE MANAGERRehabilitation Practitioner Santa Rosa, CA NPI 1295217057
- Yolanda Amada GroseAddiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1316452097
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- Jose Louis SafontAddiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003151531
- Paul Cesar Gonzalez HernandezAddiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003206293
- Benjamin William Blair, R1499800323Addiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003510769
- Kai Martin Denis, CADC 1Addiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003520826
- Teri Musser, SUDRC 12678Addiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003577677
- Sandra C. Cespedes, SUDRC 1Addiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003743006
About NPI 1124613674
Tiffany A. Revilla, SUD COUNSELOR's National Provider Identifier is 1124613674, issued on Mar 6, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Mar 6, 2021.