Individual provider · Type 1 NPI

Revala Thomas, QMHP R

Mental Health Counselor · Ontario, OR

NPI number 1285499095 Active

Practice location

777 Snake River Correctional Institution
Ontario, OR 97914

Call (832) 245-1778 Map

Mailing address

2900 W Anderson Ln # C200-148
Austin, TX 78757-1102

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285499095

Revala Thomas, QMHP R's National Provider Identifier is 1285499095, issued on Feb 20, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ontario, OR. The record was last updated on Feb 20, 2024.