Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY A REVILLA, SUD COUNSELOR
ActiveTIFFANY A REVILLA, SUD COUNSELOR is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SANTA ROSA, California. NPI 1124613674 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SANTA ROSA, CA
Registration Details
- NPI Number
- 1124613674
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2021 (5.3970123227539 yrs)
- Last Updated
- Mar 6, 2021
- License
-
11616 (CA)
Practice Information
- Address
-
3555 SONOMA HWYSANTA ROSA, CA, 954094024Browse CA providers · Browse ZIP 95409
- Phone
- 7075263150
- Fax
- 7075812155
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| DEBORAH JAY POPE | — | 1669528592 |
| TOM JOHN NEWELL | — | 1942356001 |
| MICHAEL E. WALSH | — | 1639210982 |
| MITCH HOLCOMB | — | 1225161961 |
| DENISE CEINAR | — | 1649303280 |
| KAREN BERNARD-FLORES | — | 1710010350 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.