Individual provider · Type 1 NPI

Isreal Revivo

Marriage & Family Therapist · Roseville, CA

NPI number 1902623325 Active

Practice location

3400 Douglas Blvd Ste 170
Roseville, CA 95661-4281

Call (818) 406-6689 Map

Mailing address

10443 Arminta St
Sun Valley, CA 91352-4109

Other practice locations

  • 10443 Arminta St, Sun Valley, CA 91352-4109 · (818) 406-6689

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

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 1902623325

Isreal Revivo's National Provider Identifier is 1902623325, issued on Sep 25, 2024. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Roseville, CA. The record was last updated on Oct 18, 2024.