NICHOLAS REVILLA

Mental Health Counselor

NPI: 1659001782Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

C10628(OR)

Contact & Hours

Address: 10151 SE SUNNYSIDE RD STE 480
CLACKAMAS, OR 97015
Phone: (503) 739-8321

Quick Facts

NPI: 1659001782
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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