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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELLIE LEE REVILLA

Active Sole Proprietor

SHELLIE LEE REVILLA is a Marriage & Family Therapist healthcare provider located in CAMPBELL, California. NPI 1699409482 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · CAMPBELL, CA

Registration Details

NPI Number
1699409482
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2022 (4.0910147123022 yrs)
Last Updated
Jul 15, 2022
License
MFT35689 (CA)
Sole Proprietor
Yes

Practice Information

Address
4916 POPLAR TER
CAMPBELL, CA, 950085717
Browse CA providers · Browse ZIP 95008
Phone
4082023992
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in CAMPBELL, CA

Name Credential NPI
MARCIA CLARK MFT 1093738882
MS. BARBARA DIANE MELONE MFT 1003919564
MR. LARRY BRYON HANVILLE JR. MFT 1811093917
MRS. CELIA LYNN GARTON MS 1396839262
MS. LISHA S LEE MA MFT 1366528986
LINDA ANN NUNN MFT 1245300383
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.