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Sheree D Revilla, MFT, CSAC, CADC

Marriage & Family Therapist in Kailua, HI. Individual provider (NPI-1).

NPI number1699080390
StatusActive
Last updated in NPPESJul 7, 2012

Details

NPI
1699080390
Entity type
Individual (NPI-1)
Name
Sheree D Revilla
Credential
MFT, CSAC, CADC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 18, 2010
Last updated
Jul 7, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist253HIYes
101YA0400X Counselor, Addiction (Substance Use Disorder)1434-09HI

Practice location

354 Uluniu St
Suite 412
Kailua, HI 96734-2528

Phone 808-284-4104

Mailing address

1600 Kapiolani Blvd
Suite 1306
Honolulu, HI 96814-3801

Phone 808-284-4104

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