Individual provider · Type 1 NPI

Benjamin Chet Revis

Addiction (Substance Use Disorder) Counselor · Clearlake Oaks, CA

NPI number 1760304356 Active

Practice location

14715 E. Highway 20
Clearlake Oaks, CA 95423

Call (707) 998-1800 Map

Fax (707) 998-0122

Mailing address

PO Box 316
Lucerne, CA 95458-0316

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSUDRC26267 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1760304356

Benjamin Chet Revis's National Provider Identifier is 1760304356, issued on Jul 27, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake Oaks, CA. The record was last updated on Jul 27, 2026.