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Mr. Nicholas Revilla, MA,LPCAR7629
Mental Health Counselor in Hillsboro, Oregon
NPI 1659001782

Nicholas Revilla is a Mental Health Counselor based in Happy Valley, OR and is specialized in Mental Health. Nicholas Revilla practices in Hillsboro, OR and has the professional credentials of MA,LPCAR7629. The NPI Number for Nicholas Revilla is 1659001782 and holds a License No. R7629 (Oregon).

The current practice location address for Nicholas Revilla is 9620 Ne Tanasbourne Dr Ste 300, Hillsboro, OR and can be reached out via phone at 541-818-0009.

Location: 9620 Ne Tanasbourne Dr Ste 300, Hillsboro, OR, 97086-4354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659001782
Provider Name
Nicholas Revilla
Credential
MA,LPCAR7629
Provider Entity Type
Individual
Gender
Male
Address
9620 Ne Tanasbourne Dr Ste 300, Hillsboro, OR, 97086-4354
Phone Number
541-818-0009
Fax Number
Provider Enumeration Date
06/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9620 Ne Tanasbourne Dr Ste 300
City
Hillsboro
State
Oregon
Zip
97124-7844
Phone Number
541-818-0009
Fax Number
person
Provider Business Mailing Address Details
Address
9620 Ne Tanasbourne Dr Ste 300
City
Hillsboro
State
Oregon
Zip
97124-7844
Phone Number
541-818-0009
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
R7629 (Oregon)
Definition
Definition to come...
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