Individual provider · Type 1 NPI
Shellie Lee Revilla
Marriage & Family Therapist · Campbell, CA
Practice location
4916 Poplar Ter
Campbell, CA 95008-5717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | MFT35689 (CA) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
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About NPI 1699409482
Shellie Lee Revilla's National Provider Identifier is 1699409482, issued on Jul 15, 2022. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Campbell, CA. The record was last updated on Jul 15, 2022.