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

RE'VIN SLACK, MS, LMFT, APCC

Active

RE'VIN SLACK, MS, LMFT, APCC is a Marriage & Family Therapist healthcare provider located in VICTORVILLE, California. NPI 1730701905 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · VICTORVILLE, CA

Registration Details

NPI Number
1730701905
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2020 (6.2873477274854 yrs)
Last Updated
Feb 24, 2023
Licenses
AMFT118029 (CA)
LMFT135690 (CA)

Practice Information

Address
15345 BONANZA RD
VICTORVILLE, CA, 923922499
Browse CA providers · Browse ZIP 92392
Phone
7605526600
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in VICTORVILLE, CA

Name Credential NPI
SHIRLEY ANN STUTSON MFT 1437188638
MR. MARK ALAN ERICKSON SR. MA, MFT 1225149198
MISS CYNDEE J ELWOOD MFT 1447359260
MR. RANDALL LEWIS SINCLAIR MFT 1871684456
MRS. PATRICIA ELVERA PRICKETT M.A., M.F.T. 1861572158
MR. LARRY A DOWNEY M.A. 1659441954
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.